| Lori Jean Jacobs, APNP | |
|
820 Arbutus Ave, Oconto, WI 54153-2004 | |
| (920) 835-1100 | |
| (920) 835-1099 |
| Full Name | Lori Jean Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 820 Arbutus Ave, Oconto, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386664613 | NPI | - | NPPES |
| 2006000655 | Other | AMERICAN NURSES CREDENTIALING CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2857 (Wisconsin) | Primary |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Jean Jacobs, APNP Po Box 1866, Green Bay, WI 54305-1866 Ph: (920) 445-7222 | Lori Jean Jacobs, APNP 820 Arbutus Ave, Oconto, WI 54153-2004 Ph: (920) 835-1100 |
Lindsey E Baade, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
Heather L. Mayer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Smith Ave, Oconto, WI 54153 Phone: 920-834-4110 Fax: 920-834-4117 | |
Tanya Lynn Malek, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-834-8833 Fax: 920-834-8830 | |
Clayton W Keene, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Smith Ave, Oconto, WI 54153 Phone: 920-834-7600 | |
Kimberly Marie Kudwa, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-834-8833 Fax: 920-834-8830 | |
Brook Ann Coopman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Smith Ave, Oconto, WI 54153 Phone: 920-834-4110 Fax: 920-834-4117 |