Jacqueline Susan Moe, APNP
Jacqueline Susan Moe, APNP is a Nurse Practitioner in Keshena, Wisconsin. Qualified in 2006, 20 years ago. Practices with Menominee Indian Tribe of Wisconsin, a 24-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 20
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
W3275 Wolf River DrKeshena, WI 54135-9202
Phone: (715) 799-3361
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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 2966-033 (WI) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 2966-033 (WI) |
Record details
| NPI number | 1902995251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | July 29, 2020 |
| Certification date | July 29, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Menominee Indian Tribe Of Wisconsin — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |