Spude, Jenna Mae

Spude, Jenna Mae is an sole proprietor health care provider with primary practice located at 1186 Appleton Rd , Menasha WI 54952-1906. 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 / Family is her primary health care specialty. Spude, Jenna Mae can be contacted via phone (920) 727-8700.

Contact Information

Primary practice address
1186 Appleton Rd Menasha WI 54952-1906
Phone: (920) 727-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9382-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9382-33 Wisconsin

Profile Details

NPI number 1750930079
LBN Legal business name Spude, Jenna Mae
Credentials DNP, APNP, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2019
Last updated Dec 19th, 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 1750930079 NPPES
Other F06193041 AMERICAN ACADEMY OF NURSE PRACTITIONERS
MEDICAID 100094063 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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