Individual
JENNIFER ERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10256 OLD GREEN BAY RD FL 2, PLEASANT PRAIRIE, WI 53158-2814
(262) 551-4200
Mailing address
15432 68TH ST, KENOSHA, WI 53142-8871
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
PENDING
WI
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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