Fickbohm, Jenna Sue

Fickbohm, Jenna Sue is an individual health care provider with primary practice located at 13483 County Road F , Grantsburg WI 54840-7363. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fickbohm, Jenna Sue can be contacted via phone (651) 353-5535.

Contact Information

Primary practice address
13483 County Road F Grantsburg WI 54840-7363
Phone: (651) 353-5535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L068049-1 Minnesota

Profile Details

NPI number 1902102916
LBN Legal business name Fickbohm, Jenna Sue
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2011
Last updated Feb 9th, 2011 - about 15 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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