Mchenry, Jean M

Mchenry, Jean M is an individual health care provider with primary practice located at 3263 Eaton Road , Green Bay WI 54311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mchenry, Jean M can be contacted via phone (920) 433-3456.

Contact Information

Primary practice address
3263 Eaton Road Green Bay WI 54311
Phone: (920) 433-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1766 Wisconsin

Profile Details

NPI number 1679558878
LBN Legal business name Mchenry, Jean M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 14th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679558878 NPPES
Wisconsin Other 1766-033 LICENSE

Popular Providers