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Contact Information

JENNIE COREY, NP
333 PINE RIDGE BLVD
WAUSAU, WI54401-4102
 Phone: 715-847-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIE COREY · (Female)

NPI Number 1780475657
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/13/2025
Last updated 05/27/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • WI License # 152397-30
  • WI License # 17019
  • WI License # 17019-33
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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