Search › Wisconsin › 363A00000X
Jenna Holentunder, PA-C
NPI 1508522723 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222 - Phone
- (414) 384-6700
- Fax
- (414) 727-1058
- Organisation at this address
- Athletico Ltd
Burton A Waisbren Md Sc
Dermatology Services, Sc
Charles J. Waisbren Md S.C.
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 3111 W Rawson Ave Ste 200205, Franklin, WI
- 9969 S 27th St Ste 1100, Franklin, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-15
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 Wisconsin