Individual
JENNIFER M WACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1496 BELLEVUE ST STE 502, GREEN BAY, WI 54311-4251
(920) 264-3114
(920) 932-3114
Mailing address
1496 BELLEVUE ST STE 502, GREEN BAY, WI 54311-4251
(920) 264-3114
(920) 932-3114
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17230-33
WI
Other
Enumeration date
08/25/2025
Last updated
10/24/2025
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