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Jacqueline K Shannon, APNP
Family Nurse Practitioner in Milwaukee, Wisconsin
NPI 1699961763

Jacqueline K Shannon is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Jacqueline K Shannon practices in Milwaukee, WI and has the professional credentials of APNP. The NPI Number for Jacqueline K Shannon is 1699961763 and holds a License No. 3196 (Wisconsin).

The current practice location address for Jacqueline K Shannon is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-3100 and via fax at 414-259-1145. You can also correspond with Jacqueline K Shannon through the mailing address at 9200 W WISCONSIN AVE, MILWAUKEE, WI - 53226-3522 (mailing address contact number: 414-805-3100).

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
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Provider Profile Details
NPI Number
1699961763
Provider Name
Jacqueline K Shannon
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-3100
Fax Number
414-259-1145
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699961763 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-3100
Fax Number
414-259-1145
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-3100
Fax Number
414-259-1145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3196 (Wisconsin)
Definition
Definition to come...
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