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Individual
EMILY JO JENNINGS
Active
Individual
EMILY JO JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.017973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041402770
RN LICENSE
IL
Enumeration date
07/24/2018
Last updated
04/26/2024
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