Individual
JENNIFER K MCCLIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11966
WI
367500000X
Certified Registered Nurse Anesthetist
R1775428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758137000
—
MN
01
—
P00448253
MEDICARE RAILROAD
MN
Enumeration date
08/22/2007
Last updated
09/14/2022
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