Jennifer Keomanyvong
Jennifer Keomanyvong is a Registered Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
2357 W Mason StGreen Bay, WI 54303-4708
Phone: (920) 337-6740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 261745-30 (WI) |
|---|
Record details
| NPI number | 1679146807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 24, 2021 |
| Last updated in NPPES | July 24, 2021 |
| Certification date | July 24, 2021 |
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