Individual
MS. JENNIFER L BOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APNP
Contact information
Practice address
8348 WASHINGTON AVE, RACINE, WI 53406-3733
(262) 884-4098
(262) 884-4177
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
116619-030
WI
363L00000X
Nurse Practitioner
Primary
2658-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41268700
—
WI
Enumeration date
08/05/2006
Last updated
12/18/2019
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