Individual
MISS JENNIFER B RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
350 E SHEBOYGAN ST, CAMPBELLSPORT, WI 53010-2795
(920) 533-8361
Mailing address
748 W 8TH AVE, OSHKOSH, WI 54902-5859
(920) 312-1287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12100-33
WI
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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