NPI 1003797499

Jessie Lauren Maddock

Practitioner Midwife Marshall, WI

Practice location

Address: 5521 Box Elder Rd, Marshall, WI 53559-9769
Phone: (847) 436-9088

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 612-49 (WI)

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Registry record

NPI: 1003797499
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.