Jennifer Wicklund, FNP-C

NPI 1871165118 · on the registry since 2021

Practice

Address: 4664 N Penngrove Way Ste 100
Meridian, ID 83646
Phone: (208) 898-7467
Fax: (208) 398-2120
Organisation at this address: Mountain Pine Dermatology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho