Individual
JENNIFER L WILDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 S KANSAS AVE, NORTON, KS 67654-2111
(785) 622-4254
Mailing address
112 S KANSAS AVE, NORTON, KS 67654-2111
(785) 622-4254
(785) 622-4256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-95694-111
KS
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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