# JAMBLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295278448
- **Authorized official:** MS. POLLYANNA C. VUJOVIC M.S.N., FNP (OWNER)
- **Authorized official phone:** (812) 453-2308

## Contact information

- **Practice address:** 131 CLOVER DR, SUGAR GROVE, IL 60554-9228
- **Practice address phone:** (812) 453-2308
- **Mailing address:** 131 CLOVER DR, SUGAR GROVE, IL 60554-9228
- **Mailing address phone:** (812) 453-2308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 209007868 | IL | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 08/16/2017