Individual
ZACHARY JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1449 MANITOWOC RD, MENASHA, WI 54952-2630
(815) 353-5824
Mailing address
1449 MANITOWOC RD, MENASHA, WI 54952-2630
(815) 353-5824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196435
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
17041-33
WI
Other
Enumeration date
10/12/2023
Last updated
07/08/2025
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