MRS. Jenna Sue Fickbohm, L.P.N
NPI #1902102916 in Grantsburg, Wisconsin
Provider Information
- NPI Number
- 1902102916
- Entity Type
- Individual
- Name
- MRS. Jenna Sue Fickbohm, L.P.N
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N
- Enumeration Date
- Feb 9, 2011
- Last Updated
- Feb 9, 2011
Practice Location
- Address
- 13483 COUNTY ROAD F
- City
- Grantsburg
- State
- Wisconsin
- ZIP Code
- 54840-7363
- Phone
- (651) 353-5535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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