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

Jacquelyn Marie Etienne, APNP

Individual provider Family Nurse Practitioner · NPI 1346086626

Jacquelyn Marie Etienne, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2024, 2 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

725 S Webster Ave Ste 201
Green Bay, WI 54301-3500
Phone: (920) 430-7100
Fax: (920) 430-7114
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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 15553-33 (WI)

Record details

NPI number1346086626
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Green Bay