Most Relevant Information
Provider Data
| NPI Number: | 1003309048 |
| Provider Name: | JESSICA J SKINNER RN, IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | 202052 |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
323 S 18TH AVE
STURGEON BAY
WI
542351401
Practice Location Phone/Fax
| Phone: | 9207463595 |
| Fax: |
Provider Mailing Location
1116 7TH ST
ALGOMA
WI
542011422
Provider Mailing Phone/Fax
| Phone: | 4143137540 |
| Fax: |