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Individual

JENNY P XIONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11813-13
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11813
WI

Other

Enumeration date
02/19/2021
Last updated
04/29/2026
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