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

JENNIFER L ROTH, FNP-C

Active

JENNIFER L ROTH, FNP-C is a Family Medicine healthcare provider located in BARABOO, Wisconsin. NPI 1902495468 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BARABOO, WI

Registration Details

NPI Number
1902495468
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2021 (5.4033376306439 yrs)
Last Updated
Mar 2, 2022
Licenses
11004-33 (WI)
248734 (AZ)

Practice Information

Address
1700 TUTTLE ST
BARABOO, WI, 539133319
Browse WI providers · Browse ZIP 53913
Phone
6083553800
Fax
6083557001
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BARABOO, WI

Name Credential NPI
FREDERICK W KRON MD 1972566628
STUART G HANNAH MD 1164488839
JAMES R DAMOS MD 1881650604
CHERYL L GEHIN MD 1831155480
ETHAN W CARLSON MD 1265498588
RANDY J KRSZJZANIEK MD 1194781229
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.