Individual provider · Type 1 NPI

Jennifer Lee Pravechek, NP-C

Family Nurse Practitioner · De Pere, WI

NPI number 1679773915 Active

Practice location

555 Redbird Cir, Suite 200
De Pere, WI 54115-7977

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X285485 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1679773915

Jennifer Lee Pravechek, NP-C's National Provider Identifier is 1679773915, issued on Jul 24, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in De Pere, WI. The record was last updated on Aug 21, 2013.