Individual
ABIGAIL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 324-6700
Mailing address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 324-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14196-33
WI
Other
Enumeration date
04/24/2023
Last updated
03/21/2024
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