Individual
JESSICA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
847 WHITE TAIL BND, MANTENO, IL 60950-3724
(815) 386-0453
Mailing address
847 WHITE TAIL BND, MANTENO, IL 60950-3724
(815) 386-0453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041432637
IL
363LF0000X
Family Nurse Practitioner
Primary
209029291
IL
Other
Enumeration date
01/18/2024
Last updated
02/08/2024
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