NPI Code Details Logo

NPI 1235253030

NPI 1235253030 : JESSICA ANNE BIELMEIER FNP-C : OSHKOSH, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235253030
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JESSICA ANNE BIELMEIER FNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/19/2007
-----------------------------------------------------
    Last Update Date     |    04/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2700 WEST 9TH AVE #125 
-----------------------------------------------------
    City                 |    OSHKOSH
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54904
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    920-223-0123
-----------------------------------------------------
    Fax                  |    920-223-0397
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2223 LIME KILN RD STE 1 
-----------------------------------------------------
    City                 |    GREEN BAY
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54311-6238
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    920-430-8113
-----------------------------------------------------
    Fax                  |    920-430-8122
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    165087-30
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    10550-33
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.