Individual
JENNIFER NICOLE WENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1000
(920) 997-8302
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913-6957
(920) 996-1000
(920) 997-8302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2935-23
WI
Other
Enumeration date
06/28/2012
Last updated
10/20/2021
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