Jessie Lauren Maddock

NPI #1003797499 in Marshall, Wisconsin

Provider Information

NPI Number: 1003797499
Entity Type: Individual
Name: Jessie Lauren Maddock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Enumeration Date: Sep 11, 2025
Last Updated: Sep 11, 2025

Practice Location

Address: 5521 BOX ELDER RD
City: Marshall
State: Wisconsin
ZIP Code: 53559-9769
Phone: (847) 436-9088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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