Individual
JENNIFER FOOTIT-TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CITY CTR, OSHKOSH, WI 54901-4830
(920) 456-3200
Mailing address
500 CITY CTR, OSHKOSH, WI 54901-4830
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
124167-30
WI
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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