Individual
JENNIFER NICOLE PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 CONNELLY DR, JEFFERSON, WI 53549
(920) 650-4414
Mailing address
59 CHAPEL HILL DR, JOHNSON CREEK, WI 53038-9470
(920) 390-0839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159229
WI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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