Most Relevant Information
Provider Data
| NPI Number: | 1003680737 |
| Provider Name: | JESSICA TENHOVE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2023 |
| Last Updated: | 11/13/2023 |
Provider Practice Location
333 W BROWN DEER RD UNIT G-436
MILWAUKEE
WI
532172372
Practice Location Phone/Fax
| Phone: | 4149282567 |
| Fax: |
Provider Mailing Location
5400 WASHINGTON RD APT 205
KENOSHA
WI
531441586
Provider Mailing Phone/Fax
| Phone: | 2624123266 |
| Fax: |