Individual provider · Type 1 NPI

Jacquelyn Renee Phillips, APNP

Medical Physician Assistant · Green Bay, WI

NPI number 1609826171 Active

Practice location

744 S Webster Ave, 2nd Floor
Green Bay, WI 54301-3505

Call (920) 433-3640 Map

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1948-023 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1609826171

Jacquelyn Renee Phillips, APNP's National Provider Identifier is 1609826171, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Green Bay, WI. The record was last updated on Dec 15, 2015.