MRS. Jennifer Kristin Prom, APNP

NPI #1902153844 in Cedarburg, Wisconsin

Provider Information

NPI Number
1902153844
Entity Type
Individual
Name
MRS. Jennifer Kristin Prom, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APNP
Enumeration Date
Aug 9, 2012
Last Updated
Aug 9, 2012

Practice Location

Address
9025 OAKRIDGE LN
ZIP Code
53012-9388
Phone
(262) 375-6858

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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