Individual
MS. JENNIFER ANNE DEFEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 HIGHLAND AVE, F6-133, MADISON, WI 53792-0001
(608) 263-1280
Mailing address
7225 GLADSTONE DR, MADISON, WI 53719-3410
(608) 288-0783
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12891-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12891-040
PHARMACIST
WI
Enumeration date
11/21/2006
Last updated
07/08/2007
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