person
Mrs. Jacquelyn Renee Phillips, APNP
Medical Physician Assistant in Green Bay, Wisconsin
NPI 1609826171

Jacquelyn Renee Phillips is a Medical Physician Assistant based in Green Bay, WI and is specialized in Medical. Jacquelyn Renee Phillips practices in Green Bay, WI and has the professional credentials of APNP. The NPI Number for Jacquelyn Renee Phillips is 1609826171 and holds a License No. 1948-023 (Wisconsin).

The current practice location address for Jacquelyn Renee Phillips is 744 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-433-3640. You can also correspond with Jacquelyn Renee Phillips through the mailing address at PO BOX 22487, GREEN BAY, WI - 54305-2487 (mailing address contact number: 920-445-7222).

Location: 744 S Webster Ave, Green Bay, WI, 54305-2487
person
Provider Profile Details
NPI Number
1609826171
Provider Name
Jacquelyn Renee Phillips
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
744 S Webster Ave, Green Bay, WI, 54305-2487
Phone Number
920-433-3640
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42881800 05 WI
institution
Provider Business Practice Location Address Details
Address
744 S Webster Ave
City
State
Zip
54301-3505
Phone Number
920-433-3640
Fax Number
person
Provider Business Mailing Address Details
Address
744 S Webster Ave
City
State
Zip
54301-3505
Phone Number
920-433-3640
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1948-023 (Wisconsin)
Definition
Definition to come...
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