| Doctor Name: | MS. JACQUELYN FORBES KEARNS |
| NPI Number: | 1013029214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,ARNP-C |
| License Number: | FL ARNP 2171862 |
| Business Practice Address: | 2727 Plaza Dr Wausau, WI - 544014129 |
| Business Phone Number: | 7158473000 |
| Business Fax Number: | |
| Mailing Address: | 1000 N Oak Ave, MARSHFIELD |
| State: | WI |
| Postal Code: | 544495703 |
| Phone Number: | 7153875511 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 05/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | FL ARNP 2171862 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |