Individual
JENNIFER L THICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP-BC
Contact information
Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3354-33
WI
Other
Enumeration date
02/27/2008
Last updated
06/03/2015
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