Individual
DR. JENNIFER MARGARET NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 75TH ST, PEDIATRICS, KENOSHA, WI 53142-7884
(262) 948-6367
Mailing address
1184 MARK CT, ANTIOCH, IL 60002-9401
(847) 274-7530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53245-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004139
—
WI
Enumeration date
03/26/2007
Last updated
07/14/2023
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