Individual
JENNIFER LYNN CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55809
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01074252A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578706099
—
WI
Enumeration date
04/14/2009
Last updated
07/29/2025
Update your record
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