Individual
JACKELYN LAURA PADJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3213 STEIN BLVD, EAU CLAIRE, WI 54701-6946
(715) 830-0732
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7779
MN
Other
Enumeration date
10/26/2020
Last updated
12/20/2021
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