Jessie Lauren Maddock

Midwife · Marshall, WI

Individual Active NPI

NPI number 1003797499

Practice location

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

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NPI record

NPI
1003797499
Entity type
Individual (Type 1)
Enumeration date
September 11, 2025
Last updated
September 11, 2025
Certified
September 10, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Midwife Primary 176B00000X 612-49 WI

About Jessie Maddock

Jessie Lauren Maddock is a healthcare provider registered in the NPI registry with the primary taxonomy Midwife (code 176B00000X). The practice location is 5521 Box Elder Rd, Marshall, WI 53559-9769. The NPI number 1003797499 was assigned on September 11, 2025 and the record was last updated on September 11, 2025.

Jessie Maddock lists a license in the registry: #612-49 (WI) for Midwife. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessie Lauren Maddock?

The NPI number is 1003797499.

What is the phone number of Jessie Maddock?

The phone number listed for the practice location is (847) 436-9088.

Where is Jessie Maddock located?

5521 Box Elder Rd, Marshall, WI 53559-9769.

What is the taxonomy code for Jessie Maddock?

The primary taxonomy code is 176B00000X – Midwife.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.