Individual
JENNIFER A. RASMUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1308 W 4TH ST, GILLETTE, WY 82716-3330
(307) 687-1300
Mailing address
20 GOOSE LANDING LN, BUFFALO, WY 82834-9390
(307) 221-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30807-1761
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30807-1761
WYOMING STATE BOARD OF NURSING
WY
Enumeration date
06/21/2018
Last updated
06/21/2018
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