Individual
JENNIFER L REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W5282 AMY AVE, APPLETON, WI 54915-7233
(920) 358-1900
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3157
WI
363LP0200X
Pediatric Nurse Practitioner
3157
WI
Other
Enumeration date
08/07/2007
Last updated
03/17/2018
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