person
Jill M Grevenow, NP
Pediatric Nurse Practitioner in Milwaukee, Wisconsin
NPI 1124337043

Jill M Grevenow is a Pediatric Nurse Practitioner based in Milwaukee, WI and is specialized in Pediatrics. Jill M Grevenow practices in Milwaukee, WI and has the professional credentials of NP. The NPI Number for Jill M Grevenow is 1124337043 and holds a License No. 147817 (Wisconsin).

The current practice location address for Jill M Grevenow is 999 N 92Nd St, Milwaukee, WI and can be reached out via phone at 414-337-7158 and via fax at 414-266-2926.

Location: 999 N 92Nd St, Milwaukee, WI, 53226-4875
person
Provider Profile Details
NPI Number
1124337043
Provider Name
Jill M Grevenow
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
999 N 92Nd St, Milwaukee, WI, 53226-4875
Phone Number
414-337-7158
Fax Number
414-266-2926
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124337043 05 WI
institution
Provider Business Practice Location Address Details
Address
999 N 92Nd St
City
State
Zip
53226-4875
Phone Number
414-337-7158
Fax Number
414-266-2926
person
Provider Business Mailing Address Details
Address
999 N 92Nd St
City
State
Zip
53226-4875
Phone Number
414-337-7158
Fax Number
414-266-2926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
147817 (Wisconsin)
Definition
Definition to come...
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