Jacqueline K Shannon (NPI# 1699961763, PAC ID# 5597855429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699961763 |
| PAC ID by PECOS | 5597855429 |
| Professional Enrollment ID | I20071217000057 |
| Full Name | Jacqueline K Shannon |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Address |
N51 W24953 Lisbon Rd Sussex WI 53089 |
| Phone Number | 2628538691 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678760063 |
| Number of Group Practice Members | 808 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| N51 W24953 Lisbon Rd, Sussex, WI 53089 | 2628538691 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Organization Legal Name | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| Physicians | 564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laith Shaman | Podiatry | Froedtert and The Medical College of Wisconsin Community Physicians In | 7901 S 6th St, Oak Creek, WI 53154-2010 |
| Lauren E Wanie | Physician Assistant | Froedtert and The Medical College of Wisconsin Community Physicians In | 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5959 |
| Nicholas Samuel Yunez | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 7208 N 76th St, Milwaukee, WI 53223-4502 |
| Tracy L Farrey | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 1271 N 6th St, Milwaukee, WI 53212-3360 |
| Jennifer J Schmidt | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 2180 S Main St, West Bend, WI 53095-5754 |
| Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Courtney L Pyant Dan Pullo | Obstetrics/gynecology | Froedtert and The Medical College of Wisconsin Community Physicians In | W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 |
| Katie Lammi | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861 |
| Laura Folger | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4455 S 108th St, Greenfield, WI 53228-2504 |
| Amanda Louise Ensz | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 840 N 87th St, Milwaukee, WI 53226-3586 |
| Street Address |
N51 W24953 LISBON RD |
| City | SUSSEX |
| State | WI |
| Zip | 53089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Hoffman | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Nancy A Boll-price | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Amanda M Passint | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Alicia A Bintz | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Joan Linscott | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Kelly Woppert | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Gretchen Wagner | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Mary A Templin | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Tatyana T Radulovic | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | N51 W24953 Lisbon Rd, Sussex, WI 53089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Wahmhoff | Internal Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Christopher M Peters | Family Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Sarita Makhija | Internal Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Jane L Walloch | Family Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Sarah A Van Saun | Physician Assistant | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Karen Nelson | Qualified Audiologist | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Joseph Tzougros | Pediatric Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Andrea Pollpeter | Nurse Practitioner | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Wendy P Cooper | Pediatric Medicine | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Aaron Grace | Psychologist, Clinical | Prohealth Care Medical Associates Inc | N57 W24950 N Corporate Cir, Sussex, WI 53089 |
| Find all physicians in zip 53089 | |||
| City | SUSSEX |
| Zip Code | 53089 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUSSEX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline K Shannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.