| Doctor Name: | JENNIFER LAURA WIMMER |
| NPI Number: | 1043693344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP, FNP-C |
| License Number: | 6440-33 |
| Business Practice Address: | 1000 Mineral Point Ave Janesville, WI - 535482940 |
| Business Phone Number: | 6087566800 |
| Business Fax Number: | 6087566236 |
| Mailing Address: | 1000 Mineral Point Ave, JANESVILLE |
| State: | WI |
| Postal Code: | 535482940 |
| Phone Number: | 6087566800 |
| Fax Number: | 6087566236 |
| NPI Enumeration Date: | 07/04/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6440-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |