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Individual

MS. JENNIFER J. EMMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
10000 W INNOVATION DR, THIRD FLOOR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
152373
WI
363LA2200X
Adult Health Nurse Practitioner
3574-33
WI

Other

Enumeration date
11/19/2008
Last updated
10/02/2013
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