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Individual

JENNA WOLTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP STUDENT

Contact information

Practice address
5348 MINNIS RD, SPRINGFIELD, TN 37172-6750
(217) 821-2223
Mailing address
5348 MINNIS RD, SPRINGFIELD, TN 37172-6750

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261169
TN

Other

Enumeration date
08/29/2025
Last updated
08/29/2025
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