Individual provider · Type 1 NPI

Jacqueline M. Kaufman, AGPCNP-BC

Nurse Practitioner · Green Bay, WI

NPI number 1861926396 Active

Practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Call (920) 433-3640 Map

Fax (920) 433-3716

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

820 Arbutus Ave, Oconto, WI 54153-2004 · (920) 835-1100
2820 Roosevelt Rd, Marinette, WI 54143-3834 · (715) 735-5225

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	232951-30 (WI)
Critical Care Medicine Registered Nurse	163WC0200X	4704297325 (MI)
Gerontology Nurse Practitioner	363LG0600X	7839-33 (WI)
Nurse Practitioner Primary	363L00000X	7839-33 (WI)

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 1861926396

Jacqueline M. Kaufman, AGPCNP-BC's National Provider Identifier is 1861926396, issued on Apr 11, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 31, 2019.