IndividualActive
Jeremiah Ennen
NPI 1497575260 · Continuing Education/Staff Development Registered Nurse · Neenah, WI
Provider details
- NPI number
- 1497575260
- Entity type
- Individual
- Primary specialty
- Continuing Education/Staff Development Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1104464 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1041 Honeysuckle Ln
Neenah, WI 54956-3930
Phone: (507) 514-2056
Approximate (ZIP-level) locationGet directions
Mailing address
650 Foxmoor Ln
Eau Claire, WI 54701-7492
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.