Individual
JENNIFER NICOLE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10998-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053983577
—
WI
01
—
10998-33
APRN LICENSE
WI
Enumeration date
07/14/2021
Last updated
09/27/2023
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