Individual
HANNAH NOELLE JUCKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(262) 951-8089
(920) 288-4863
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
251606
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
251606-30
WI
367500000X
Certified Registered Nurse Anesthetist
J2500119401102
WI
Other
Enumeration date
09/07/2024
Last updated
04/28/2026
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