| Doctor Name: | JENNIFER LEA BAUMGART |
| NPI Number: | 1386978260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 3891-033 |
| Business Practice Address: | 305 E 12th St Kaukauna, WI - 541302865 |
| Business Phone Number: | 9207664656 |
| Business Fax Number: | 9207664659 |
| Mailing Address: | 305 E 12th St, KAUKAUNA |
| State: | WI |
| Postal Code: | 541302865 |
| Phone Number: | 9207664656 |
| Fax Number: | 9207664659 |
| NPI Enumeration Date: | 09/25/2009 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3891-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |