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Jessica Anne Wallis-bhyravabotla, FNP-C
Nurse Practitioner in Madison, Wisconsin
NPI 1962879296

Jessica Anne Wallis-bhyravabotla is a Nurse Practitioner based in Middleton, WI. Jessica Anne Wallis-bhyravabotla practices in Madison, WI and has the professional credentials of FNP-C. The NPI Number for Jessica Anne Wallis-bhyravabotla is 1962879296 and holds a License No. 7559 (Wisconsin).

The current practice location address for Jessica Anne Wallis-bhyravabotla is 600 Highland Ave, Madison, WI and can be reached out via phone at 608-265-1700.

Location: 600 Highland Ave, Madison, WI, 53562-5531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962879296
Provider Name
Jessica Anne Wallis-bhyravabotla
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
600 Highland Ave, Madison, WI, 53562-5531
Phone Number
608-265-1700
Fax Number
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209-013144 01 IL IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
600 Highland Ave
City
Madison
State
Wisconsin
Zip
53792-1840
Phone Number
608-265-1700
Fax Number
person
Provider Business Mailing Address Details
Address
600 Highland Ave
City
Madison
State
Wisconsin
Zip
53792-1840
Phone Number
608-265-1700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
7559 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7559 (Wisconsin)
Definition
Definition to come...
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