Individual provider · Type 1 NPI
Jeffrey Allen Fillmore, APNP
Family Nurse Practitioner · New London, WI
NPI number
1992382873
Active
Practice location
1405 Mill St
New London, WI 54961-2155
Fax (920) 531-2450
Mailing address
96 N Clinton Ave
Clintonville, WI 54929-1250
Other practice locations
- 600 N Koeller St, Oshkosh, WI 54902-3241 · (920) 385-6612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 10818-33 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 10818 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992382873
Jeffrey Allen Fillmore, APNP's National Provider Identifier is 1992382873, issued on Mar 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New London, WI. The record was last updated on Feb 14, 2022.