Individual
JOLENE K OEHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AANP
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6474-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356725543
—
WI
Enumeration date
07/17/2015
Last updated
11/22/2021
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