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

Jacklyn M Spates, APNP

Individual provider Family Nurse Practitioner · NPI 1487969572

Jacklyn M Spates, APNP is a Family Nurse Practitioner in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010

Practice location Address checks out

820 E Grant St Ste 230
Appleton, WI 54911-3483
Phone: (920) 738-7300
Fax: (920) 738-7301
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4125 (WI)

Record details

NPI number1487969572
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESMay 23, 2016

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