Individual
MICHELLE JENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
819 STATE HIGHWAY 73 S, WISCONSIN RAPIDS, WI 54494-9253
(715) 207-2221
Mailing address
819 STATE HIGHWAY 73 S, WISCONSIN RAPIDS, WI 54494-9253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240131-30
WI
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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