Individual
MRS. JENNIFER MARIE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, SANE-A
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 230-1637
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 230-1637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.397965
IL
163W00000X
Registered Nurse
Primary
131311
IA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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