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Jennifer Blease
NPI 1720719834 · on the registry since 2022
Practice
- Address
- 1153 Boughton St Apt 14g
Watertown, WI 53094 - Phone
- (920) 285-7015
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-19
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