Individual provider · Type 1 NPI

Shannon Jacklin, APNP

Family Nurse Practitioner · West Bend, WI

NPI number 1881464550 Active

Practice location

1700 W Paradise Dr
West Bend, WI 53095-9795

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X16053-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1881464550

Shannon Jacklin, APNP's National Provider Identifier is 1881464550, issued on Jan 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Bend, WI. The record was last updated on Jan 13, 2025.