Individual provider · Type 1 NPI

Jacklyn M. Spates, APNP

Family Nurse Practitioner · Appleton, WI

NPI number 1487969572 Active

Practice location

820 E Grant St, Suite 230
Appleton, WI 54911-3483

Fax (920) 738-7301

Mailing address

2500 Overlook Ter, Suite 230
Madison, WI 53705-2254

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4125 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1487969572

Jacklyn M. Spates, APNP's National Provider Identifier is 1487969572, issued on Aug 12, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Appleton, WI. The record was last updated on May 23, 2016.