Individual
JENNIFER RENEE WIEDERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
611 NORTH 2ND ST, LINCOLN, MT 59639
(406) 642-0546
(406) 743-6065
Mailing address
PO BOX 254, LINCOLN, MT 59639-0254
(406) 642-0546
(406) 743-6065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-174614
MT
Other
Enumeration date
03/23/2021
Last updated
09/18/2023
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