Individual
JENNIFER HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15397 WI-32, LAKEWOOD, WI 54138
(715) 276-6321
Mailing address
15397 WI-32, LAKEWOOD, WI 54138
(715) 276-6321
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
16970
WI
Other
Enumeration date
07/11/2025
Last updated
12/23/2025
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