Individual
JENNIFER KILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
610 N BROADWAY, GREEN BAY, WI 54303-3426
(920) 437-7206
Mailing address
1571 ALAMOSA TRL, GREEN BAY, WI 54313-3967
(920) 594-0312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1733333
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1733333
WI
Other
Enumeration date
08/25/2025
Last updated
09/10/2025
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