Most Relevant Information
Provider Data
| NPI Number: | 1003599507 |
| Provider Name: | JESSICA MARIE DENTON APNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 13296-33 |
Most Important Dates
| Enumeration Date: | 08/10/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
10000 W BLUEMOUND RD
WAUWATOSA
WI
532264321
Practice Location Phone/Fax
| Phone: | 4143242309 |
| Fax: |
Provider Mailing Location
3829 E HENRY AVE
CUDAHY
WI
531103121
Provider Mailing Phone/Fax
| Phone: | 4143242309 |
| Fax: |