Donath, Jennifer Lyn

Donath, Jennifer Lyn is an individual health care provider with primary practice located at 1032 E Sumner St , Hartford WI 53027-1608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Donath, Jennifer Lyn can be contacted via phone (262) 670-7649.

Contact Information

Primary practice address
1032 E Sumner St Hartford WI 53027-1608
Phone: (262) 670-7649
Fax: (262) 670-7620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4650 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 413598 Wisconsin

Profile Details

NPI number 1134406390
LBN Legal business name Donath, Jennifer Lyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Dec 21st, 2023 - about 3 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 1134406390 NPPES
Wisconsin MEDICAID 100020141

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