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Individual

SHIRLEY M JEAN-BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
720 S VANBUREN ST, GREEN BAY, WI 54301-3534
(920) 433-7488
(920) 433-7439
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174474-30
WI
363LF0000X
Family Nurse Practitioner
Primary
8056-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017021907
AMERICAN NURSES CREDENTIALING CENTER
Enumeration date
10/03/2017
Last updated
06/08/2020
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