Individual
JENNIFER M HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
377 W RIVER WOODS PKWY STE 201, GLENDALE, WI 53212-1088
(414) 323-6880
Mailing address
377 W RIVER WOODS PKWY STE 201, GLENDALE, WI 53212-1088
(414) 323-6880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
918-023
WI
363AM0700X
Medical Physician Assistant
918-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42969700
—
WI
01
—
9114
DEAN HEALTH INSURANCE
WI
Enumeration date
05/04/2006
Last updated
03/08/2023
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