Individual
DAVID E JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
807 THAYER ST, RHINELANDER, WI 54501-2364
(715) 401-1520
Mailing address
807 THAYER ST, RHINELANDER, WI 54501-2364
(715) 401-1520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191424-30
WI
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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