Leonard, Jennifer Lynn

Leonard, Jennifer Lynn is an individual health care provider with primary practice located at 2555 N Dr Martin Luther King Jr Dr , Milwaukee WI 53212-2709. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Leonard, Jennifer Lynn can be contacted via phone (414) 372-8080.

Contact Information

Primary practice address
2555 N Dr Martin Luther King Jr Dr Milwaukee WI 53212-2709
Phone: (414) 372-8080
Fax: (414) 562-8084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 238888-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10783-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 10783-33 Wisconsin

Profile Details

NPI number 1083209035
LBN Legal business name Leonard, Jennifer Lynn
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Jul 3rd, 2024 - about last year

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 1083209035 NPPES
Wisconsin MEDICAID 100158147

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