# JENNINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245643725
- **Authorized official:** MRS. JENNINE ANTIONETTE EASLEY REGISTERED NURSE (INDEPENDENT CARE GIVER)
- **Authorized official phone:** (414) 795-5753

## Contact information

- **Practice address:** 717 LAND PL, MILWAUKEE, WI 53205-2358
- **Practice address phone:** (414) 795-5753
- **Mailing address:** 717 LAND PL, MILWAUKEE, WI 53205-2358
- **Mailing address phone:** (414) 795-5753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 200568-30 | WI | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014