Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELYN RENEE PHILLIPS, APNP
ActiveMRS. JACQUELYN RENEE PHILLIPS, APNP is a Medical Physician Assistant healthcare provider located in GREEN BAY, Wisconsin. NPI 1609826171 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GREEN BAY, WI
Registration Details
- NPI Number
- 1609826171
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2006 (20.235435766025 yrs)
- Last Updated
- Dec 15, 2015
- License
-
1948-023 (WI)
Practice Information
- Address
-
744 S WEBSTER AVE2ND FLOORGREEN BAY, WI, 543013505Browse WI providers · Browse ZIP 54301
- Phone
- 9204333640
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ROBERT CONRAD | PA | 1801898564 |
| MS. CYNTHIA SHACKLETON MARTIN | PA-C | 1821198839 |
| GAIL P BOSCO | PA | 1538205380 |
| ERIC DANIHEL | PA-C | 1285184804 |
| MIRANDA MARY CSETER | PA-C | 1275049140 |
| MRS. MEGAN MARIE LEON | PA-C | 1356900757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.