Individual
JENNIFER RUDNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 W BLUEMOUND RD STE 125, MILWAUKEE, WI 53213-3367
(414) 023-2800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7637-33
WI
363LF0000X
Family Nurse Practitioner
7367-33
WI
367A00000X
Advanced Practice Midwife
148933
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193516
—
WI
Enumeration date
03/22/2017
Last updated
02/27/2025
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