IndividualActive
Jasmine John, MD
NPI 1205214178 · Preventive Medicine/Occupational Environmental Medicine Physician · Green Bay, WI
Provider details
- NPI number
- 1205214178
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 72055-20 (WI)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 72055-20 (WI)
Allopathic & Osteopathic Physicians
Practice location
3021 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
3021 Voyager Dr
Green Bay, WI 54311-8303
Registry dates
- Enumerated
- 2015-05-12
- Last updated
- 2020-02-12
- Certified
- 2020-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.