Individual
JEANNETTE JUSTINE JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2504 W GRANT ST, MILWAUKEE, WI 53215-2535
(414) 324-6769
Mailing address
2504 W GRANT ST, MILWAUKEE, WI 53215-2535
(414) 324-6769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29733-31
WI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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