MRS. GWEN ANNETTE JELLISH (NPI# 1326194853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326194853 |
| Entity Type | Individual |
| Full Name | MRS. GWEN ANNETTE JELLISH |
| Credential | LPN |
| Practice Address |
N8160 Big Lake Ln Sherwood WI 54169-9666 |
| Practice Telephone | 9204754489 |
| Mailing Telephone | 9204754489 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 6880-031 | WI | Nursing Service Providers |
| Street Address |
N8160 BIG LAKE LN |
| City | SHERWOOD |
| State | WI |
| Zip Code | 54169-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972838233 | Joseph Edward Pilon Jr. | Orthopaedic Surgery | W4933 Palisades Trail, Sherwood, WI 54169 | 2009-10-05 |
| 1356386155 | Family Focused Vision Care, LLC | Optometrist | W575 Castle Dr., Sherwood, WI 54169 | 2006-06-17 |
| 1487770467 | Sherwood Dental S.c. | Dentist | North 275 Military Rd., Sherwood, WI 54169 | 2007-03-22 |
| 1164546503 | Sidney B. Schulz | Dentist | North 275 Military Rd., Sherwood, WI 54169-0159 | 2007-03-19 |
| 1194079210 | Daul Anesthesia Inc | Nurse Anesthetist, Certified Registered | W4855 Mustang Dr, Sherwood, WI 54169-9505 | 2012-10-29 |
| 1053666768 | Peter Altfillisch | Pharmacist | W5077 Cherrywood Ct, Sherwood, WI 54169-9510 | 2012-07-18 |
| 1316975683 | Shannon Peterson | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-06-28 |
| 1730613555 | Megan Wolfinger | Dentist | N275 Military Rd, Sherwood, WI 54169-9603 | 2017-04-18 |
| 1396812905 | Sherwood Chiropractic Sc | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-11-29 |
| 1861023343 | Stephen M Kelly | Specialist/Technologist | N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 | 2020-02-03 |
| Find all providers in zip 54169 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083855 | Majenta A Wise | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-28 |
| 1770110462 | Kyjana Dominique Moore | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-03-24 |
| 1548742588 | Paula Kaye Doody-boatright | Licensed Practical Nurse | 207 Fred Rains Dr, Sherwood, AR 72120-5457 | 2018-09-06 |
| 1467952341 | Lanisha Renee Swopes | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.