Individual
MRS. JENNIFER KOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N8565 HOLSETH RD, HOLMEN, WI 54636-9233
(608) 526-2878
Mailing address
N8565 HOLSETH RD, HOLMEN, WI 54636-9233
(608) 526-2878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163728-30
WI
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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