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NPI Code Detail

MEDICARE: JOLENE ZIEBART APNP

MEDICARE: JOLENE ZIEBART APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner127-033WI

General Provider Information

NPI Number : 1457346421
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLENE ZIEBART APNP
Provider Business Mailing Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2054
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 05/20/2021

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