Dzemske, Jennifer G

Dzemske, Jennifer G is an sole proprietor health care provider with primary practice located at 2051 S 67Th Pl , West Allis WI 53219-1306. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dzemske, Jennifer G can be contacted via phone (414) 208-6933.

Contact Information

Primary practice address
2051 S 67Th Pl West Allis WI 53219-1306
Phone: (414) 208-6933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 315608-31 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13844 Wisconsin

Profile Details

NPI number 1457606121
LBN Legal business name Dzemske, Jennifer G
Credentials APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2012
Last updated Jun 30th, 2023 - 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 1457606121 NPPES
Wisconsin MEDICAID UNKNOWN

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