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Individual

JONATHAN K JANDRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-C

Contact information

Practice address
1500 ARBOR WAY, KAUKAUNA, WI 54130-7305
(920) 766-3200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1187-39
WI
363L00000X
Nurse Practitioner
Primary
13440
WI
363LF0000X
Family Nurse Practitioner
13440-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100227220
WI
Enumeration date
11/13/2010
Last updated
01/26/2026
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