Search › Wisconsin › 104100000X
Jasmin Jedlicka
NPI 1659111813 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1025 E Meadow Grove Blvd
Appleton, WI 54915 - Phone
- (920) 470-1167
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-03
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