person
Jessie Marie Kellogg
Psychiatric/Mental Health Nurse Practitioner in Tomah, Wisconsin
NPI 1508579103

Jessie Marie Kellogg is a Psychiatric/Mental Health Nurse Practitioner based in Tomah, WI and is specialized in Psychiatric/Mental Health. Jessie Marie Kellogg practices in Tomah, WI. The NPI Number for Jessie Marie Kellogg is 1508579103 and holds a License No. G172333 (Wisconsin).

The current practice location address for Jessie Marie Kellogg is 500 E Veterans St, Tomah, WI and can be reached out via phone at 608-372-3971.

Location: 500 E Veterans St, Tomah, WI, 54660-1844
person
Provider Profile Details
NPI Number
1508579103
Provider Name
Jessie Marie Kellogg
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 E Veterans St, Tomah, WI, 54660-1844
Phone Number
608-372-3971
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 E Veterans St
City
State
Zip
54660-3105
Phone Number
608-372-3971
Fax Number
person
Provider Business Mailing Address Details
Address
500 E Veterans St
City
State
Zip
54660-3105
Phone Number
608-372-3971
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
G172333 (Iowa)
Definition
Definition to come...
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