Boerger, Jennifer L

Boerger, Jennifer L is an individual health care provider with primary practice located at 8348 Washington Ave , Racine WI 53406-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boerger, Jennifer L can be contacted via phone (262) 884-4098.

Contact Information

Primary practice address
8348 Washington Ave Racine WI 53406-3733
Phone: (262) 884-4098
Fax: (262) 884-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 116619-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2658-033 Wisconsin

Profile Details

NPI number 1134138779
LBN Legal business name Boerger, Jennifer L
Credentials FNP APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 18th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134138779 NPPES
Wisconsin MEDICAID 41268700

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