Individual
JENNA LYNN BEARDSLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
808294
TX
363L00000X
Nurse Practitioner
AP135122
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
11161
WI
Other
Enumeration date
09/26/2017
Last updated
12/16/2021
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