Individual
JENNIFER HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 381-8931
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 381-8931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3451-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285032318
—
WI
Enumeration date
12/05/2014
Last updated
01/19/2021
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