Jacobi, Shannon K

Jacobi, Shannon K is an individual health care provider with primary practice located at 3111 W Rawson Ave Suite 200, Franklin WI 53132-9417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jacobi, Shannon K can be contacted via phone (414) 384-6700.

Contact Information

Primary practice address
3111 W Rawson Ave Suite 200 Franklin WI 53132-9417
Phone: (414) 384-6700
Fax: (414) 761-1921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4466-33 Wisconsin

Profile Details

NPI number 1760760391
LBN Legal business name Jacobi, Shannon K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Mar 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760760391 NPPES
Wisconsin MEDICAID 1760760391

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