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Jennifer R Renner-kevkhishvili, APNP
Family Nurse Practitioner in Milwaukee, Wisconsin
NPI 1952035453

Jennifer R Renner-kevkhishvili is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Jennifer R Renner-kevkhishvili practices in Milwaukee, WI and has the professional credentials of APNP. The NPI Number for Jennifer R Renner-kevkhishvili is 1952035453 and holds a License No. 12163 (Wisconsin).

The current practice location address for Jennifer R Renner-kevkhishvili is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-955-0231 and via fax at 414-805-6808.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
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Provider Profile Details
NPI Number
1952035453
Provider Name
Jennifer R Renner-kevkhishvili
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-955-0231
Fax Number
414-805-6808
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952035453 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-0231
Fax Number
414-805-6808
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-0231
Fax Number
414-805-6808
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12163 (Wisconsin)
Definition
Definition to come...
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