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

Stephanie R Smullen, PA-C

Individual provider Physician Assistant · NPI 1316117500

Stephanie R Smullen, PA-C is a Physician Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2845 Greenbrier Rd Ste 240
Green Bay, WI 54311-6519
Phone: (920) 288-8280
Fax: (920) 288-8285
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2242 (WI)

Record details

NPI number1316117500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2008
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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