Joachim, Jackie
Joachim, Jackie is an individual health care provider with primary practice located at 221 E Sunset Dr , Waukesha WI 53186. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Joachim, Jackie can be contacted via phone (866) 825-3227.Contact Information
Primary practice address
221 E Sunset Dr
Waukesha WI 53186
Phone: (866) 825-3227
Fax: (484) 450-2617
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3175 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3175 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3175 | Wisconsin |
Profile Details
NPI number | 1841486008 |
---|---|
LBN Legal business name | Joachim, Jackie |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2007 |
Last updated | May 4th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841486008 | NPPES |
Wisconsin | Other | 3175 | APNP LICENSE |
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