Individual
MRS. JENNY M BAUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
945 9TH ST, LAKE LINDEN, MI 49945-1100
(906) 483-1030
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
(906) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704259562
MI
Other
Enumeration date
06/11/2019
Last updated
04/14/2021
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