Jennifer Lee Will, RN

Individual provider Active NPI Diabetes Educator Registered Nurse · Beulah, ND

NPI 1396488979 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1396488979
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
R47759 (ND)
Practice address
1312 Highway 49 N
Beulah, ND 58523-6038
Phone
(701) 873-4445
Fax
(701) 873-4199
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R47759NDMDDiabetes Educator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R47759 ND Yes

Addresses

Primary practice location

1312 Highway 49 N
Beulah, ND 58523-6038

Mailing address

1312 Highway 49 N
Beulah, ND 58523-6038
Phone (701) 873-4445

Other names

  • Jennifer Lee Krause Former name

Other providers in Beulah, ND

All providers in Beulah, ND · Diabetes Educator Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.