Bodden Hoenisch, Jillian Marie

Bodden Hoenisch, Jillian Marie is an individual health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718-8339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bodden Hoenisch, Jillian Marie can be contacted via phone (608) 265-1295.

Contact Information

Primary practice address
5249 E Terrace Dr Madison WI 53718-8339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 99379-33 Wisconsin

Profile Details

NPI number 1871145367
LBN Legal business name Bodden Hoenisch, Jillian Marie
Credentials DNP, AGPCNP-BC, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2019
Last updated Jan 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871145367 NPPES
Wisconsin Other 9379-33 STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES BOARD OF NURSING

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