Individual
JENNIFER L. WEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6055
WI
363LF0000X
Family Nurse Practitioner
6055
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041398
—
WI
Enumeration date
10/07/2014
Last updated
07/29/2024
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