Individual provider · Type 1 NPI
Jacqueline K. Dake, NP
Pediatric Nurse Practitioner · Milwaukee, WI
NPI number
1487904785
Active
Practice location
9000 W Wisconsin Ave, Pediatric Nephrology
Milwaukee, WI 53226-4874
Fax (414) 337-7145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 82180 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487904785
Jacqueline K. Dake, NP's National Provider Identifier is 1487904785, issued on Sep 13, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 13, 2012.