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Search › Wisconsin › 225200000X

Jaclyn Hanson

NPI 1376199208 · on the registry since 2019

Practice

Address
459 E 1st St
Fond Du Lac, WI 54935
Phone
(920) 906-4785
Organisation at this address
Fond Du Lac County
Fond Du Lac County
Fond Du Lac County
Fond Du Lac Co Dcp Ccs Program
Fond Du Lac County Dcp Ccs Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
112

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin