Bodden Hoenisch, Jillian Marie
Bodden Hoenisch, Jillian Marie is an individual health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718-8339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bodden Hoenisch, Jillian Marie can be contacted via phone (608) 265-1295.Contact Information
Primary practice address
5249 E Terrace Dr
Madison WI 53718-8339
Phone: (608) 265-1295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 99379-33 | Wisconsin |
Profile Details
| NPI number | 1871145367 |
|---|---|
| LBN Legal business name | Bodden Hoenisch, Jillian Marie |
| Credentials | DNP, AGPCNP-BC, APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2019 |
| Last updated | Jan 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871145367 | NPPES |
| Wisconsin | Other | 9379-33 | STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES BOARD OF NURSING |
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