Provider Demographics
NPI:1275286858
Name:PRECISION HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:PRECISION HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:414-533-0133
Mailing Address - Street 1:5521 W CENTER ST UNIT 100934
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-7530
Mailing Address - Country:US
Mailing Address - Phone:414-533-0133
Mailing Address - Fax:856-249-9048
Practice Address - Street 1:6914 W APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2732
Practice Address - Country:US
Practice Address - Phone:414-290-7596
Practice Address - Fax:414-908-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service