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Mrs. Jennifer Mary Petersen, LPN
Licensed Practical Nurse in Sullivan, Wisconsin
NPI 1417308578

Jennifer Mary Petersen is a Licensed Practical Nurse based in Sullivan, WI. Jennifer Mary Petersen practices in Sullivan, WI and has the professional credentials of LPN. The NPI Number for Jennifer Mary Petersen is 1417308578 and holds a License No. 31454231 (Wisconsin).

The current practice location address for Jennifer Mary Petersen is 417 Grove St, Sullivan, WI and can be reached out via phone at 920-988-3499.

Location: 417 Grove St, Sullivan, WI, 53178-9770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417308578
Provider Name
Jennifer Mary Petersen
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
417 Grove St, Sullivan, WI, 53178-9770
Phone Number
920-988-3499
Fax Number
Provider Enumeration Date
06/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Grove St
City
Sullivan
State
Wisconsin
Zip
53178-9770
Phone Number
920-988-3499
Fax Number
person
Provider Business Mailing Address Details
Address
417 Grove St
City
Sullivan
State
Wisconsin
Zip
53178-9770
Phone Number
920-988-3499
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
31454231 (Wisconsin)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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