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Mrs. Jacki L Wildeman, ARNP
Acute Care Nurse Practitioner in Newburgh, Indiana
NPI 1184672628

Jacki L Wildeman is an Acute Care Nurse Practitioner based in Newburgh, IN and is specialized in Acute Care. Jacki L Wildeman practices in Newburgh, IN and has the professional credentials of ARNP. The NPI Number for Jacki L Wildeman is 1184672628 and holds a License No. 71001467A (Indiana).

The current practice location address for Jacki L Wildeman is 4007 Gateway Blvd # 100, Newburgh, IN and can be reached out via phone at 812-842-0907 and via fax at 812-490-7054. You can also correspond with Jacki L Wildeman through the mailing address at 4015 GATEWAY BLVD STE 2120, NEWBURGH, IN - 47630-9460 (mailing address contact number: 812-842-0907).

Location: 4007 Gateway Blvd # 100, Newburgh, IN, 47630-9460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184672628
Provider Name
Jacki L Wildeman
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
4007 Gateway Blvd # 100, Newburgh, IN, 47630-9460
Phone Number
812-842-0907
Fax Number
812-490-7054
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78009586 05 KY
000000270530 01 ANTHEM
200427140 05 IN
institution
Provider Business Practice Location Address Details
Address
4007 Gateway Blvd # 100
City
Newburgh
State
Indiana
Zip
47630-8947
Phone Number
812-842-0907
Fax Number
812-490-7054
person
Provider Business Mailing Address Details
Address
4015 Gateway Blvd Ste 2120
City
Newburgh
State
Indiana
Zip
47630-9460
Phone Number
812-842-0907
Fax Number
812-464-4485
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
3899P (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
71001467A (Indiana)
Definition
Definition to come...
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