Individual
JENNIFER N MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Contact information
Practice address
327 NORTH AVE, HARTLAND, WI 53029-1719
(262) 369-4391
(262) 369-4392
Mailing address
327 NORTH AVE, HARTLAND, WI 53029-1719
(262) 424-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193868
WI
163WG0600X
Gerontology Registered Nurse
193868
WI
363LF0000X
Family Nurse Practitioner
Primary
9809-33
WI
363LP2300X
Primary Care Nurse Practitioner
9809
WI
Other
Enumeration date
08/07/2019
Last updated
01/28/2020
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