Individual
JENNIFER D KOOYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3360 SUNNY VIEW LN, BROOKFIELD, WI 53005-2907
(262) 510-5827
Mailing address
3360 SUNNY VIEW LN, BROOKFIELD, WI 53005-2907
(262) 510-5827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250664-30
WI
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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