Individual
JAELA N. FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
501 N 1ST ST, SPRINGFIELD, IL 62702-5115
(217) 788-3792
(217) 788-5562
Mailing address
501 N 1ST ST, SPRINGFIELD, IL 62702-5115
(217) 788-3792
(217) 788-5562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041368256
RN LICENSE
IL
Enumeration date
10/01/2018
Last updated
12/10/2024
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