Individual
JENNIFER L BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3669
(414) 649-5646
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3669
(414) 649-5646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5472-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032625
—
WI
Enumeration date
09/19/2013
Last updated
09/20/2023
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