Individual
MS. JENNIFER L BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9000 WEST WISCONSIN AVENUE, CHILDREN'S HEALTH SYS OFFICE BLDG, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG, MILWAUKEE, WI 53226-3518
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2697
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41272000
—
WI
Enumeration date
05/16/2006
Last updated
08/18/2009
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