| Doctor Name: | JODI WILHELM |
| NPI Number: | 1760857437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 190217 |
| Business Practice Address: | 1981 Greengrove St Kaukauna, WI - 541303921 |
| Business Phone Number: | 9207594436 |
| Business Fax Number: | |
| Mailing Address: | 433 W Prospect Ave, APPLETON |
| State: | WI |
| Postal Code: | 549116038 |
| Phone Number: | 9205853674 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2015 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 190217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |