1. Home
  2. Directory
  3. Wisconsin
  4. Superior
  5. Registered Nurse
  6. NPI Profile

JESSICA HALVORSON RN
NPI 1417407586
Registered Nurse in Superior, WI

Active since October 12, 2016
2222 E 5TH ST, SUPERIOR, WI 54880(715) 392-1955(715) 392-1935 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Nov 11, 2020, Sep 29, 2020 and 1 more (4 updates tracked since 2016).

About Jessica Halvorson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA HALVORSON RN (NPI 1417407586) is an individual registered nurse in Superior, Wisconsin, licensed in Wisconsin (241033-30) and active in the NPI registry since October 2016. She maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1417407586
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJESSICA HALVORSONCredential: RN
Location Address2222 E 5TH STSuperior, WI 54880-3709
Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935
Phone(715) 392-1955
Fax(715) 392-1935
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateNovember 29, 20234 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1417407586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses✔ Licensed in WI · 241033-30✔ Licensed in MN · 2427539
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2222 E 5TH ST, Superior, WI 54880
Open in Google Maps ↗

Secondary Practice Location 1

Location 14325 Grand AveDuluth, MN 55807-2730 · Phone (218) 722-1497 · Fax (218) 722-6239

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY JO WALDUM RN
Registered Nurse
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
HOLLY WOODHULL RN
Registered Nurse
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
BLAIRE MARIE HYSJULIEN LCSW
Social Worker (Clinical)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 395-5393
DR. MITCHELL LEE TSCHAKERT DDS
Dentist (General Practice)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 394-5411
JACQUELYN K. LINDBERG LPC
Counselor (Professional)
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
TIFFANY JOHNSON C-SAC
Counselor (Addiction (Substance Use Disorder))
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955
MS. CRYSTAL M NORRIS SAC-IT
Case Manager/Care Coordinator
2222 E 5TH ST
SUPERIOR, WI 54880
Douglas County (715) 392-1955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Halvorson's NPI number?

The NPI number for Jessica Halvorson is 1417407586. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Jessica Halvorson located?

Jessica Halvorson practices at 2222 E 5th St, Superior, WI 54880. The listed phone number is (715) 392-1955.

What is Jessica Halvorson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Halvorson was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.