IndividualActive
Jennifer Lidbury
NPI 1861853566 · Registered Nurse · Gresham, WI
Provider details
- NPI number
- 1861853566
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 169207-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
N2150 Kesaehkahtek
Gresham, WI 54128
Phone: (715) 799-3835
Fax: (715) 799-5056
Approximate (ZIP-level) locationGet directions
Mailing address
N2150 Kesaehkahtek
Gresham, WI 54128
Registry dates
- Enumerated
- 2016-03-09
- Last updated
- 2016-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.