Provider Demographics
NPI:1700329125
Name:JOWETT, SHEILAKAY ANN (LPN)
Entity Type:Individual
Prefix:
First Name:SHEILAKAY
Middle Name:ANN
Last Name:JOWETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 MID TOWN RD APT 108
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3460
Mailing Address - Country:US
Mailing Address - Phone:608-212-1832
Mailing Address - Fax:
Practice Address - Street 1:7530 MID TOWN RD APT 108
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3460
Practice Address - Country:US
Practice Address - Phone:608-212-1832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI304768164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse