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

Individual provider Medical Physician Assistant · NPI 1609826171

Mrs. Jacquelyn Renee Phillips, APNP is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2005, 21 years ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

744 S Webster Ave 2nd Fl
Green Bay, WI 54301-3505
Phone: (920) 433-3640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1948-023 (WI)

Record details

NPI number1609826171
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESDecember 15, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Green Bay