Jacquelyn Renee Phillips in Green Bay - Medical
Jacquelyn Renee Phillips - NPI 1609826171
Jacquelyn Renee Phillips is a Medical in Green Bay, Wisconsin. Jacquelyn Renee Phillips practices all healthcare services and medical treatments related to Medical. The NPI Number for Jacquelyn Renee Phillips is 1609826171. The last update date is 2015-12-15.
Jacquelyn Renee Phillips's current location address is Po Box 22487, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Jacquelyn Renee Phillips is Po Box 22487, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Renee Phillips |
|---|---|
| Address | Po Box 22487, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1609826171 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | Po Box 22487 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543052487 |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1948-023 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42881800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacquelyn Renee Phillips by the Centers for Medicare & Medicaid Services?
The Jacquelyn Renee Phillips has been issued the NPI (National Provider Identifier) 1609826171, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacquelyn Renee Phillips's facilities are situated?
The facilities of Jacquelyn Renee Phillips are physically located at the following address: Po Box 22487, Green Bay, WI, 543052487.
What is Jacquelyn Renee Phillips's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacquelyn Renee Phillips is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609826171 to Jacquelyn Renee Phillips?
The Centers for Medicare & Medicaid Services originally issued the 1609826171 to Jacquelyn Renee Phillips on 2006-05-12.
As of what date was the information regarding Jacquelyn Renee Phillips, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacquelyn Renee Phillips, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-15.