# JENNIFER DANIELLE STROMBERG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164748166
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 125-058918 | IL | — |
| 207Q00000X | Family Medicine Physician | 2014-01696 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 60733-20 | WI | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 2014-01696 | NC | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 60733 | WI | — |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 01/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1164748166 | — | WI |