Individual provider · Type 1 NPI
Jacqueline K. Shannon, APNP
Family Nurse Practitioner · Milwaukee, WI
NPI number
1699961763
Active
Practice location
9200 W Wisconsin Ave, Transplant Surgery
Milwaukee, WI 53226-3522
Fax (414) 259-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3196 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699961763
Jacqueline K. Shannon, APNP's National Provider Identifier is 1699961763, issued on Sep 21, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 11, 2013.