# JACQUELINE KAYE HORNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689197147
- **Gender:** F
- **Credential:** FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 041378331 | IL | — |
| 163WG0000X | General Practice Registered Nurse | 28228659A | IN | — |
| 363L00000X | Nurse Practitioner | 209016582 | IL | — |
| 363L00000X | Nurse Practitioner | 71014248A | IN | Yes |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 10/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 209016582 | IDPR | IL |