Jennifer Lynn Dall, NP-C
Nurse Practitioner, Family in Brookfield, WI. Individual provider (NPI-1).
NPI number1831855949
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1831855949
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Dall
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2021
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06212637 | WI | Yes |
Practice location
2475 N 124th StBrookfield, WI 53005-4630
Phone 414-455-0463 · Fax 262-599-5962
Mailing address
2377 S 73rd StWest Allis, WI 53219-1805
Phone 262-365-1276
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All 28 Family Nurse Practitioner providers in Brookfield · All 2,564 providers in Brookfield
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