Individual
MS. JEANNE E CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4855 S MOORLAND RD, ALLERGY AND IMMUNOLOGY, NEW BERLIN, WI 53151-7494
(262) 432-7703
(262) 432-7798
Mailing address
4855 S MOORLAND RD, ALLERGY AND IMMUNOLOGY, NEW BERLIN, WI 53151-7494
(262) 432-7703
(262) 432-7798
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
219
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030377E
HUMANA
—
05
—
1841242443
—
WI
Enumeration date
05/16/2006
Last updated
03/11/2024
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