Individual provider · Type 1 NPI
Jill Marie Ullmer
Specialist · Green Bay, WI
NPI number
1124756002
Active
Practice location
801 Hoffman Rd Ste 106
Green Bay, WI 54301-1462
Mailing address
N5972 Vine Rd
Seymour, WI 54165-8148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 717-403 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1124756002
Jill Marie Ullmer's National Provider Identifier is 1124756002, issued on Aug 9, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 9, 2022.