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

JENNIFER MARIE PEDERSON, RN

Active

JENNIFER MARIE PEDERSON, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BANGOR, Wisconsin. NPI 1750080016 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · BANGOR, WI

Registration Details

NPI Number
1750080016
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2023 (3.4933772988344 yrs)
Last Updated
Feb 27, 2023
License
172543-30 (WI)

Practice Information

Address
807 MEADOWVIEW ST
BANGOR, WI, 546149245
Browse WI providers · Browse ZIP 54614
Phone
6087925816
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.