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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER KEOMANYVONG

Active

JENNIFER KEOMANYVONG is a Registered Nurse healthcare provider located in GREEN BAY, Wisconsin. NPI 1679146807 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · GREEN BAY, WI

Registration Details

NPI Number
1679146807
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2021 (5.0719264086195 yrs)
Last Updated
Jul 24, 2021
License
261745-30 (WI)

Practice Information

Address
2357 W MASON ST
GREEN BAY, WI, 543034708
Browse WI providers · Browse ZIP 54303
Phone
9203376740
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in GREEN BAY, WI

Name Credential NPI
MICHELLE M CULLEN APNP 1528083425
JOANN MARY GOSZ APNP 1841215639
KERIN BETH DRAAK APNP 1164441549
LYNN D. REZACHEK RN 1104845387
CHERYL ANNE WEIRAUCH APNP 1770505802
BARBARA J KOCH APNP 1467475574
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.