Jill M Witte is a Nurse Practitioner in Shawano, Wisconsin. Jill M Witte practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jill M Witte is 1386817021. The last update date is 2021-11-30.
Jill M Witte's current location address is 1346 E Green Bay St, Shawano, Wisconsin. You can contact this provider via phone number 7155266244. The mailing address for Jill M Witte is 1346 E Green Bay St, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M Witte |
|---|---|
| Address | 1346 E Green Bay St, Shawano, Wisconsin |
| Phone Number | 7155266244 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1386817021 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 1346 E Green Bay St |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541662210 |
| Phone Number | 7155266244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3442-33 |
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Definition: (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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3442-33 | WI | WISCONSIN LICENSE | |
| 123577-30 | WI | WISCONSIN RN LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jill M Witte by the Centers for Medicare & Medicaid Services?
The Jill M Witte has been assigned the NPI (National Provider Identifier) 1386817021. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jill M Witte is geographically located?
The Jill M Witte is physically situated at the following location: 1346 E Green Bay St, Shawano, WI, 541662210.
What is Jill M Witte's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill M Witte's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When was the Jill M Witte's 1386817021 issued?
The Jill M Witte's 1386817021 was issued on 2008-04-02.
When was the Jill M Witte's information last updated?
The Jill M Witte's information was last updated on 2021-11-30.