Individual
MRS. JENNIFER MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
442 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(224) 238-3211
(224) 535-8215
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7171
(815) 435-5080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.368523
IL
363L00000X
Nurse Practitioner
209014655
IL
363LF0000X
Family Nurse Practitioner
Primary
209.014655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209014655
STATE LICENSE
IL
Enumeration date
08/02/2016
Last updated
02/10/2026
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