person
Mrs. Jennifer Kristin Prom, APNP
Family Nurse Practitioner in Cedarburg, Wisconsin
NPI 1902153844

Jennifer Kristin Prom is a Family Nurse Practitioner based in Cedarburg, WI and is specialized in Family. Jennifer Kristin Prom practices in Cedarburg, WI and has the professional credentials of APNP. The NPI Number for Jennifer Kristin Prom is 1902153844 and holds a License No. 4891-33 (Wisconsin).

The current practice location address for Jennifer Kristin Prom is 9025 Oakridge Ln, Cedarburg, WI and can be reached out via phone at 262-375-6858.

Location: 9025 Oakridge Ln, Cedarburg, WI, 53012-9388
person
Provider Profile Details
NPI Number
1902153844
Provider Name
Jennifer Kristin Prom
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
9025 Oakridge Ln, Cedarburg, WI, 53012-9388
Phone Number
262-375-6858
Fax Number
Provider Enumeration Date
08/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9025 Oakridge Ln
City
State
Zip
53012-9388
Phone Number
262-375-6858
Fax Number
person
Provider Business Mailing Address Details
Address
9025 Oakridge Ln
City
State
Zip
53012-9388
Phone Number
262-375-6858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4891-33 (Wisconsin)
Definition
Definition to come...
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