Jennifer T Edwards, MD
Family Medicine in Madison, WI. Individual provider (NPI-1).
NPI number1104889880
StatusActive
Last updated in NPPESFeb 3, 2009
Details
- NPI
- 1104889880
- Entity type
- Individual (NPI-1)
- Name
- Jennifer T Edwards
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2006
- Last updated
- Feb 3, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 45202 | WI | Yes |
Practice location
5618 Odana RdMadison, WI 53719-1208
Phone 608-274-1100 · Fax 608-274-0310
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
Phone 608-829-5485
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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