Individual
JEAN-MARIE TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
385 S ORANGE ST, EL PASO, IL 61738-1613
(309) 527-4900
(309) 527-3525
Mailing address
385 S ORANGE ST, EL PASO, IL 61738-1613
(309) 527-4900
(309) 527-3525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006705
IL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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