Jazmine Mendez
Individual provider Active NPI Community Health Registered Nurse · Deforest, WI
NPI 1871244558 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1871244558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 230074 (WI)
- Practice address
- 215 N Lexington Pkwy
Deforest, WI 53532-3004 - Phone
- (608) 417-0193
- NPI assigned
- Jan 13, 2022
- 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 |
|---|---|---|---|
| 230074 | WI | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 230074 | WI | Yes |
Addresses
Primary practice location
215 N Lexington Pkwy
Deforest, WI 53532-3004
Mailing address
215 N Lexington Pkwy
Deforest, WI 53532-3004
Phone (608) 417-0193
Other providers in Deforest, WI
- Mercedes Yasmine Lewis
- Jamie Lothe
- MCN Madison LLC
- MD Group LLC
- MD Group LLC
- Matthew Allan Mickelson
- Erika Minkevicius
- Carol Mintz
- Macey Elizabeth Moser
- Amanda Lynn Motiff
All providers in Deforest, WI · Community Health 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 Jan 13, 2022. 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.