Whalio Doctors

NPI 1053619387

Jacklin a Sailo, FNP

Practitioner Family Nurse Practitioner Crandon, WI

Practice location

Address
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631
Phone
(715) 478-4300
Mailing address
8201 Mish Ko Swen Dr P.O. Box 396, Crandon, WI 54520-8631

Registered specialties (2)

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4300-33 (WI)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4704225343 (MI)

Registry record

NPI
1053619387
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Mar 2011
Record last updated
30 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.