Individual
KAYLA LYNN JENNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193564-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9657-33
WI
Other
Enumeration date
09/27/2019
Last updated
11/17/2022
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