JUDITH A. WIENKE

JEFFERSON CITY, MO
NPI1013988633
Other NameJUDY A. FENNESSEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  089694)
Enumeration Date2006-01-31
Last Update Date2014-01-09
Business Address
-- JUDITH A. WIENKE NP
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
Mailing Address
-- JUDITH A. WIENKE NP
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-0234
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