Jeanne Webber
Individual provider Active NPI Registered Nurse · Porterfield, WI
NPI 1669913901 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1669913901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 112240 (WI)
- Practice address
- N6054 Walters Rd
Porterfield, WI 54159-9721 - Phone
- (715) 923-5206
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704184256 | MI | MD | Registered Nurse |
| 112240 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 112240 | WI | Yes |
| Registered Nurse | 163W00000X | 4704184256 | MI |
Addresses
Primary practice location
N6054 Walters Rd
Porterfield, WI 54159-9721
Mailing address
N6054 Walters Rd
Porterfield, WI 54159-9721
Phone (715) 923-5206
Other providers in Porterfield, WI
All providers in Porterfield, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.