Individual provider · Type 1 NPI

Jennifer Kristin Prom, APNP

Family Nurse Practitioner · Cedarburg, WI

NPI number 1902153844 Active

About NPI 1902153844

Jennifer Kristin Prom, APNP's National Provider Identifier is 1902153844, issued on Aug 9, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cedarburg, WI. The record was last updated on Aug 9, 2012.