Individual
JENNIE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2121
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
152397-30
WI
363L00000X
Nurse Practitioner
Primary
17019
WI
363LA2100X
Acute Care Nurse Practitioner
17019-33
WI
363LG0600X
Gerontology Nurse Practitioner
17019-33
WI
Other
Enumeration date
05/13/2025
Last updated
05/27/2026
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