Individual
MISS JEANINE ANN NOFFKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIC
Contact information
Practice address
5741 STATE HIGHWAY 52, WABENO, WI 54566-9055
(920) 883-8782
Mailing address
5741 STATE HIGHWAY 52, WABENO, WI 54566-9055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
33-9512
WI
363LX0106X
Occupational Health Nurse Practitioner
Primary
33-9512
WI
Other
Enumeration date
09/06/2019
Last updated
11/13/2025
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