Provider Demographics
NPI:1548664501
Name:ZINGSHEIM, JEAN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:
Last Name:ZINGSHEIM
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 1:4945 SOUTH 31ST. STREET
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53221-5611
Mailing Address - Country:US
Mailing Address - Phone:414-840-1511
Mailing Address - Fax:
Practice Address - Street 1:4945 SOUTH 31ST. STREET
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53221-5611
Practice Address - Country:US
Practice Address - Phone:414-840-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI302611-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse