Gruber, Jennifer

Gruber, Jennifer is an individual health care provider with primary practice located at 650 Mcmillen St , Fort Atkinson WI 53538-1275. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gruber, Jennifer can be contacted via phone (920) 563-8900.

Contact Information

Primary practice address
650 Mcmillen St Fort Atkinson WI 53538-1275
Phone: (920) 563-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6307 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6307 Wisconsin

Profile Details

NPI number 1134515703
LBN Legal business name Gruber, Jennifer
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Oct 7th, 2022 - about 4 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 1134515703 NPPES
Wisconsin MEDICAID 1134515703

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