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Individual
MRS. JENELLE MONCHE' WARD
Active
Individual
MRS. JENELLE MONCHE' WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNP, AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156128-30
WI
163WC0400X
Case Management Registered Nurse
00140605
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
13739-33
WI
363LG0600X
Gerontology Nurse Practitioner
13739-33
WI
Other
Enumeration date
08/28/2012
Last updated
03/20/2023
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