Individual
JENNIFER LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-4094
Mailing address
114 S MAIN ST # 273, FOND DU LAC, WI 54935-4229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5439
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5439-33
WI
Other
Enumeration date
09/06/2013
Last updated
03/18/2025
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