Individual provider · Type 1 NPI
Jacki L. Wildeman, ARNP
Nurse Practitioner · Newburgh, IN
Practice location
4007 Gateway Blvd # 100
Newburgh, IN 47630-8947
Fax (812) 490-7054
Mailing address
4015 Gateway Blvd Ste 2120
Newburgh, IN 47630-9460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71001467A (IN) |
| Acute Care Nurse Practitioner | 363LA2100X | 3899P (KY) |
| Acute Care Nurse Practitioner | 363LA2100X | 309002150 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 71001467A (IN) |
| Acute Care Nurse Practitioner | 363LA2100X | 28079891A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1184672628
Jacki L. Wildeman, ARNP's National Provider Identifier is 1184672628, issued on May 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newburgh, IN. The record was last updated on Dec 6, 2019.