Provider Demographics
NPI:1316189616
Name:ZELLMER, JANE ANN (RN, BSN, MSN)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ANN
Last Name:ZELLMER
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8975 WEST HOWARD AVE.
Mailing Address - Street 2:APT. 202
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53228-1660
Mailing Address - Country:US
Mailing Address - Phone:414-543-2714
Mailing Address - Fax:
Practice Address - Street 1:8975 WEST HOWARD AVE
Practice Address - Street 2:APT. 202
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53228-1660
Practice Address - Country:US
Practice Address - Phone:414-543-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53062-030163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse