Individual
JENNA L BYOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(800) 427-1902
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-2615
(800) 427-1902
(800) 564-5952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
999033
WI
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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