Individual
JIANNAN ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173577-30
WI
363L00000X
Nurse Practitioner
209.034088
IL
363L00000X
Nurse Practitioner
Primary
5412
WI
363LF0000X
Family Nurse Practitioner
5412
WI
363LP2300X
Primary Care Nurse Practitioner
5412-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032694
—
WI
Enumeration date
08/14/2013
Last updated
03/05/2026
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