Individual
JENNIFER BETH ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN/CNP
Contact information
Practice address
10222 74TH ST, KENOSHA, WI 53142-6810
(262) 697-9200
(262) 697-9206
Mailing address
10222 74TH ST, KENOSHA, WI 53142-6810
(262) 697-9200
(262) 697-9206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4028
WI
363LW0102X
Women's Health Nurse Practitioner
209-006009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009125
—
WI
Enumeration date
04/12/2010
Last updated
11/18/2021
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