Individual
JENNIFER GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APNP
Contact information
Practice address
2845 GREENBRIER RD STE 420, GREEN BAY, WI 54311-6519
(920) 288-8100
(920) 288-8530
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15726-33
WI
363LF0000X
Family Nurse Practitioner
15726-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100305588
—
WI
Enumeration date
12/24/2024
Last updated
03/03/2025
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