Individual
JACKLYN M SPATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
820 E GRANT ST, SUITE 230, APPLETON, WI 54911-3483
(920) 738-7300
(920) 738-7301
Mailing address
2500 OVERLOOK TER, SUITE 230, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4125
WI
Other
Enumeration date
08/12/2010
Last updated
05/23/2016
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