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Individual
TERRY JEAN WARD
Active
Individual
TERRY JEAN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.233695
IL
363LF0000X
Family Nurse Practitioner
Primary
209.029770
IL
Other
Enumeration date
12/01/2023
Last updated
11/07/2024
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