Most Relevant Information
Provider Data
| NPI Number: | 1003593740 |
| Provider Name: | JEANETTE ROEHL APNP FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 14137-33 |
Most Important Dates
| Enumeration Date: | 07/04/2023 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
210 WISCONSIN AMERICAN DR
FOND DU LAC
WI
549372999
Practice Location Phone/Fax
| Phone: | 9209077000 |
| Fax: |
Provider Mailing Location
PO BOX 735044
CHICAGO
IL
606732999
Provider Mailing Phone/Fax
| Phone: | 8003262250 |
| Fax: |