Healthcare Provider Details

I. General information

NPI: 1275463432
Provider Name (Legal Business Name): JENNIFER HINZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 S 8TH ST
MANITOWOC WI
54220-5701
US

IV. Provider business mailing address

1433 S 8TH ST
MANITOWOC WI
54220-5701
US

V. Phone/Fax

Practice location:
  • Phone: 920-663-9600
  • Fax: 920-686-4717
Mailing address:
  • Phone: 920-663-9600
  • Fax: 920-686-4717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number126698-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: