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JOLLY MACWAN, NP
NP
Nurse Practitioner
NPI: 1306551486IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
209026572(IL)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
16677-33(WI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
Via practice · 2 locations total
- Address
- 10400 75TH ST
KENOSHA, WI 53142 - Phone
- (262) 948-5600
Quick Facts
- NPI
- 1306551486
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 5
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