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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEAN PATRICE BUCKLEY

Active

JEAN PATRICE BUCKLEY is a Physician Assistant healthcare provider located in STEVENS PT., Wisconsin. NPI 1861542029 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STEVENS PT., WI

Registration Details

NPI Number
1861542029
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2007 (19.600014677432 yrs)
Last Updated
May 20, 2013
License
964 (WI)

Practice Information

Address
910 FREMONT ST
STEVENS PT., WI, 54481
Browse WI providers · Browse ZIP 54481
Phone
7153465000
Primary Specialty
Physician Assistant
363A00000X
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.