Jolene M Kopplin, NP
Nurse Practitioner in Antigo, WI. Individual provider (NPI-1).
NPI number1174548044
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174548044
- Entity type
- Individual (NPI-1)
- Name
- Jolene M Kopplin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 462 | WI | Yes |
Practice location
110 E 5th AveAntigo, WI 54409-2710
Phone 715-623-2351
Mailing address
3000 Westhill DrSuite 303
Wausau, WI 54401-3795
Phone 715-847-2304
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All 6 Nurse Practitioner providers in Antigo · All 256 providers in Antigo
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