Individual
JENNIFER E RESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1420 ALGOMA ST, NEW LONDON, WI 54961-2104
(920) 982-8300
Mailing address
1420 ALGOMA ST, NEW LONDON, WI 54961-2104
(920) 982-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4580-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952685794
—
WI
01
—
4580-033
STATE LICENSE
WI
Enumeration date
09/28/2011
Last updated
07/06/2016
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