Individual provider · Type 1 NPI
Jenna Rae Eisold, CPNP
Pediatric Nurse Practitioner · River Falls, WI
NPI number
1609408210
Active
Practice location
65 W Wood Ridge Dr
River Falls, WI 54022-8291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 7231 (MN) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1609408210
Jenna Rae Eisold, CPNP's National Provider Identifier is 1609408210, issued on Feb 11, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in River Falls, WI. The record was last updated on Feb 11, 2020.