Brakke, Jennifer Lynn

Brakke, Jennifer Lynn is an individual health care provider with primary practice located at 1617 E Division St , River Falls WI 54022-1571. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brakke, Jennifer Lynn can be contacted via phone (715) 307-6600.

Contact Information

Primary practice address
1617 E Division St River Falls WI 54022-1571
Phone: (715) 307-6600
Fax: (715) 307-6601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8913 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6173 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6173 Minnesota

Profile Details

NPI number 1891278347
LBN Legal business name Brakke, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2018
Last updated Sep 12th, 2022 - about 2 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 1891278347 NPPES
Minnesota Other R193953-6 MN BOARD OF NURSING

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