Individual
JENNIFER RENEE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
420 RUDER ST, WAUSAU, WI 54403-6603
(251) 223-2489
Mailing address
420 RUDER ST, WAUSAU, WI 54403-6603
(251) 223-2489
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
073197
MN
164W00000X
Licensed Practical Nurse
Primary
318223
WI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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