JOLENE M KOPPLIN NP
NPI 1174548044
Nurse Practitioner in Antigo, WI

Q: What is Jolene Kopplin's NPI number?

The NPI number for Jolene Kopplin is 1174548044. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Jolene Kopplin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jolene Kopplin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2006

110 E 5TH AVE, ANTIGO, WI 54409(715) 623-2351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jolene M Kopplin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOLENE M KOPPLIN NP (NPI 1174548044) is an individual nurse practitioner in Antigo, Wisconsin, licensed in Wisconsin (462) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174548044

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJOLENE M KOPPLINCredential: NP

Location Address110 E 5TH AVEAntigo, WI 54409-2710

Mailing Address3000 Westhill Dr, Suite 303Wausau, WI 54401-3795 · (715) 847-2304

Phone(715) 623-2351

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174548044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 462

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

110 E 5TH AVE, Antigo, WI 54409

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Other Identifiers 2

Medicare UPINS14871WI

Medicaid43840100WI

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE J HESSEDAL RD

Dietitian, Registered