Individual
MS. JACQUELYN FORBES KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ARNP-C
Contact information
Practice address
2727 PLAZA DR, WAUSAU, WI 54401-4129
(715) 847-3000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4047
WI
363LA2200X
Adult Health Nurse Practitioner
FL ARNP 2171862
FL
Other
Enumeration date
09/01/2006
Last updated
05/11/2010
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