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Jacki Wildeman, ARNP
NPI 1184672628 · on the registry since 2006
Practice
- Address
- 4007 Gateway Blvd # 100
Newburgh, IN 47630 - Phone
- (812) 842-0907
- Fax
- (812) 490-7054
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
363LA2100X
363LA2100X
363LA2100X - Licence states on file
- IN, KY, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana