Jennifer Kristin Prom, APNP Valid NPI

Individual provider · Family Nurse Practitioner · Cedarburg, WI

NPI

1902153844

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

4891-33 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2012-08-09

Last updated

2012-08-09