Individual
JENNIFER L GRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
Mailing address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5973-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770980831
—
WI
Enumeration date
12/04/2014
Last updated
04/02/2025
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