| Doctor Name: | JENNIFER LYNN MCDOLE |
| NPI Number: | 1417267758 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 4226-33 |
| Business Practice Address: | 5000 Memorial Dr Two Rivers, WI - 542413900 |
| Business Phone Number: | 9207945000 |
| Business Fax Number: | |
| Mailing Address: | 5000 Memorial Dr, TWO RIVERS |
| State: | WI |
| Postal Code: | 542413900 |
| Phone Number: | 9207945000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2010 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 4226-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |