Individual
MS. JENNIFER FAY DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 W MAIN ST, #209, WAUKESHA, WI 53186-4645
(262) 744-1073
Mailing address
234 W MAIN ST, #209, WAUKESHA, WI 53186-4645
(262) 744-1073
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
106452030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39918800
—
WI
Enumeration date
11/01/2007
Last updated
01/08/2015
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