Prom, Jennifer Kristin

Prom, Jennifer Kristin is an individual health care provider with primary practice located at 9025 Oakridge Ln , Cedarburg WI 53012-9388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prom, Jennifer Kristin can be contacted via phone (262) 375-6858.

Contact Information

Primary practice address
9025 Oakridge Ln Cedarburg WI 53012-9388
Phone: (262) 375-6858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4891-33 Wisconsin

Profile Details

NPI number 1902153844
LBN Legal business name Prom, Jennifer Kristin
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Aug 9th, 2012 - about 14 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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