Individual
JACQUELINE K BUTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2488
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2488
WI STATE LIC APNP
WI
01
—
65997
WI STATE LIC RN
WI
Enumeration date
09/20/2006
Last updated
09/18/2015
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