Individual
JENNIFER M BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8450
(920) 926-8997
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6146
WI
Other
Enumeration date
01/12/2015
Last updated
12/10/2020
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