Individual
JANA LYNNE GEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Mailing address
W12377 COUNTY ROAD MM, PRESCOTT, WI 54021-7011
(651) 398-2459
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R 176124-1
MN
363LF0000X
Family Nurse Practitioner
6852
MN
363LF0000X
Family Nurse Practitioner
9615-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6852
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9615-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106502
UCARE MN
MN
05
—
148313700
—
MN
01
—
181585
UCARE MN PCA
MN
01
—
37865
HEALTH PARNTERS
MN
01
—
411770668
VA FED. GOV.
MN
01
—
4J19CA
BCBS
MN
01
—
5900010
MEDICA
MN
Enumeration date
03/09/2007
Last updated
08/19/2024
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