Individual
JENNIFER MINESSALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 785-2273
Mailing address
3809 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 785-2273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4036-033
WI
Other
Enumeration date
04/30/2010
Last updated
09/08/2022
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