Individual
GINGER LOREN JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2947 N 26TH ST, MILWAUKEE, WI 53206-1122
(414) 873-1476
Mailing address
2947 N 26TH ST, MILWAUKEE, WI 53206-1122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305902-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35027700
—
WI
Enumeration date
07/14/2009
Last updated
07/14/2009
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