Individual
JENNIE ANNE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
(920) 926-8907
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14033-33
WI
Other
Enumeration date
06/01/2023
Last updated
06/02/2023
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