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Jennifer L Roth, FNP-C
Family Medicine Physician in Baraboo, Wisconsin
NPI 1902495468

Jennifer L Roth is a Family Medicine Physician based in Baraboo, WI. Jennifer L Roth practices in Baraboo, WI and has the professional credentials of FNP-C. The NPI Number for Jennifer L Roth is 1902495468 and holds a License No. 11004-33 (Wisconsin).

The current practice location address for Jennifer L Roth is 1700 Tuttle St, Baraboo, WI and can be reached out via phone at 608-355-3800 and via fax at 608-355-7001.

Location: 1700 Tuttle St, Baraboo, WI, 53913-3319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902495468
Provider Name
Jennifer L Roth
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1700 Tuttle St, Baraboo, WI, 53913-3319
Phone Number
608-355-3800
Fax Number
608-355-7001
Provider Enumeration Date
01/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902495468 05 WI
institution
Provider Business Practice Location Address Details
Address
1700 Tuttle St
City
Baraboo
State
Wisconsin
Zip
53913-3319
Phone Number
608-355-3800
Fax Number
608-355-7001
person
Provider Business Mailing Address Details
Address
1700 Tuttle St
City
Baraboo
State
Wisconsin
Zip
53913-3319
Phone Number
608-355-3800
Fax Number
608-355-7001
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
248734 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
11004-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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