Paradise, Jacquelyn

Paradise, Jacquelyn is an individual health care provider with primary practice located at 8915 W Connell Ave , Milwaukee WI 53226-3067. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Paradise, Jacquelyn can be contacted via phone (414) 241-7583.

Contact Information

Primary practice address
8915 W Connell Ave Milwaukee WI 53226-3067
Phone: (414) 241-7583
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 194720-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 8975-33 Wisconsin

Profile Details

NPI number 1669712535
LBN Legal business name Paradise, Jacquelyn
Credentials MSN NNP-BC APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2013
Last updated May 2nd, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669712535 NPPES
Wisconsin MEDICAID 1669712535

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