Doctor Name: | JEAN RENE JARVIS |
NPI Number: | 1386810638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 144858030 |
Business Practice Address: | W5912 Dean Rd Tomahawk, WI - 544878314 |
Business Phone Number: | 7159661107 |
Business Fax Number: | |
Mailing Address: | W5912 Dean Rd, TOMAHAWK |
State: | WI |
Postal Code: | 544878314 |
Phone Number: | 7159661107 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | 144858030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |