Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER REBECCA ENMAN-BOURGON, D.O.
ActiveJENNIFER REBECCA ENMAN-BOURGON, D.O. is a Obstetrics & Gynecology healthcare provider located in WISCONSIN RAPIDS, Wisconsin. NPI 1265789572 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · WISCONSIN RAPIDS, WI
Registration Details
- NPI Number
- 1265789572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2012 (14.06546668898 yrs)
- Last Updated
- Feb 26, 2026
- Licenses
-
73626-21 (WI)020045038 (IN)
Practice Information
- Address
-
410 DEWEY STWISCONSIN RAPIDS, WI, 544944715Browse WI providers · Browse ZIP 54494
- Phone
- 7154236060
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Student (Health Education/Training)
Other Obstetrics & Gynecology Providers in WISCONSIN RAPIDS, WI
| Name | Credential | NPI |
|---|---|---|
| BRENT P FLETCHER | MD | 1790797199 |
| FLOYD L DAUENHAUER JR. | MD | 1699881953 |
| ELIZABETH MELLOTT | DO | 1578957452 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.