Provider Demographics
NPI:1518255413
Name:JESCHKE, KARA LEA (RN)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:LEA
Last Name:JESCHKE
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 1:985 FAIRWAY CIR
Mailing Address - Street 2:
Mailing Address - City:PLAIN
Mailing Address - State:WI
Mailing Address - Zip Code:53577-9781
Mailing Address - Country:US
Mailing Address - Phone:608-279-4428
Mailing Address - Fax:
Practice Address - Street 1:985 FAIRWAY CIR
Practice Address - Street 2:
Practice Address - City:PLAIN
Practice Address - State:WI
Practice Address - Zip Code:53577-9781
Practice Address - Country:US
Practice Address - Phone:608-279-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163097-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse