Individual
MRS. JENNIFER LYN DONATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 670-7649
(262) 670-7620
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4650
WI
363LG0600X
Gerontology Nurse Practitioner
413598
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020141
—
WI
Enumeration date
11/15/2011
Last updated
12/21/2023
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