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Individual

JENNIFER ANN DIGIACOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(414) 630-3119
Mailing address
3643 S 82ND ST, MILWAUKEE, WI 53220-1025
(414) 630-3119

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6045-33
WI

Other

Enumeration date
10/10/2014
Last updated
09/02/2020
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