Individual
JENNIFER FAYE KONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
W992 HOCHHEIM RD, THERESA, WI 53091-9752
(920) 763-7686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13390-33
WI
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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