Individual
JESSE GEORGE KORNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-9450
Mailing address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-9450
(309) 582-9479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209010207
LICENSE NUMBER
IL
Enumeration date
02/12/2013
Last updated
05/28/2021
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