Individual
JENNIFER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1617 SHERMAN AVE, MADISON, WI 53704-5930
(608) 240-0020
(608) 245-3077
Mailing address
PO BOX 14017, MADISON, WI 53708-0017
(608) 240-0020
(608) 245-3077
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
7217-33
WI
363LG0600X
Gerontology Nurse Practitioner
7217-33
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
7217-33
WI
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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