Provider Demographics
NPI:1467413963
Name:GARRETT, JEANNE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:MARIE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N4388 HWY D
Mailing Address - Street 2:
Mailing Address - City:HELENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53137-9793
Mailing Address - Country:US
Mailing Address - Phone:262-593-5606
Mailing Address - Fax:
Practice Address - Street 1:224 CONNELLY DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:WI
Practice Address - Zip Code:53549-2222
Practice Address - Country:US
Practice Address - Phone:262-751-4648
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse