Individual
JENNIE SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 301-0868
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 301-0868
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
23817220
WI
Other
Enumeration date
05/13/2019
Last updated
08/07/2023
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