Individual
WENDY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
1649 DELAWARE BLVD, MADISON, WI 53704-1863
(608) 345-6441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219987-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219987-30
NURSING LICENSE
WI
Enumeration date
12/08/2022
Last updated
12/08/2022
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