Individual
JENNA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N11941 US HIGHWAY 141, WAUSAUKEE, WI 54177-9300
(715) 856-5151
Mailing address
W12301 WINCHESTER TRL, CRIVITZ, WI 54114-7866
(715) 856-5151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333845-31
WI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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