Individual
JENNIFER ROSE BOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N3708 RIVER AVE, NEILLSVILLE, WI 54456-7218
(715) 819-8343
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9491
WI
363LA2200X
Adult Health Nurse Practitioner
9491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SSN
—
WI
Enumeration date
06/24/2019
Last updated
05/04/2026
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