Most Relevant Information
Provider Data
| NPI Number: | 1003527177 |
| Provider Name: | JENEA KATHLEEN STASSI BSN, WCC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WW0000X |
| Specialty: | Registered Nurse |
| License Number: | 4130704 |
Most Important Dates
| Enumeration Date: | 12/09/2022 |
| Last Updated: | 12/09/2022 |
Provider Practice Location
2500 OVERLOOK TER
MADISON
WI
537052254
Practice Location Phone/Fax
| Phone: | 6082561901 |
| Fax: |
Provider Mailing Location
114 ORCHARD ST
EDGERTON
WI
535342160
Provider Mailing Phone/Fax
| Phone: | 6085560320 |
| Fax: |