Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacklyn M Spates, APNP

Individual provider Family Nurse Practitioner · NPI 1487969572

Jacklyn M Spates, APNP is a Family Nurse Practitioner in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010

Practice location Address checks out

820 E Grant St Ste 230
Appleton, WI 54911-3483
Phone: (920) 738-7300
Fax: (920) 738-7301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4125 (WI)

Record details

NPI number1487969572
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESMay 23, 2016
Mailing address2500 Overlook Ter, Suite 230, Madison, WI 53705-2254

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