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

Individual provider Family Nurse Practitioner · NPI 1699961763

Jacqueline K Shannon, APNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2007, 19 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
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Practice location Address checks out

9200 W Wisconsin Ave Transplant Surgery
Milwaukee, WI 53226-3522
Phone: (414) 805-3100
Fax: (414) 259-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3196 (WI)

Record details

NPI number1699961763
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESDecember 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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