Individual
MRS. JENNIFER LYNN HANKWITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N2721 GROVE RD, LODI, WI 53555-1591
(608) 592-3960
Mailing address
N2721 GROVE RD, LODI, WI 53555-1591
(608) 592-3960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38294900
—
WI
Enumeration date
04/10/2006
Last updated
07/09/2007
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