Individual
JENNIFER LYNN HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7754-33
WI
363L00000X
Nurse Practitioner
218863
WI
363L00000X
Nurse Practitioner
Primary
7754
WI
Other
Enumeration date
07/11/2017
Last updated
11/24/2021
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