Individual
MS. JENNIFER A RUTTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, RHIA
Contact information
Practice address
3210 N 79TH ST, MILWAUKEE, WI 53222-3933
(414) 449-2319
Mailing address
3210 N 79TH ST, MILWAUKEE, WI 53222-3933
(414) 449-2319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80191-030
WI
246YR1600X
Registered Record Administrator
Primary
0476220
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39955400
—
WI
Enumeration date
09/06/2005
Last updated
09/11/2025
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