Individual
JESSICA PRENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5979 NEBESHONE LN, ROCKFORD, IL 61103-8926
(815) 977-4908
Mailing address
12772 FREEPORT RD, DURAND, IL 61024-9736
(815) 703-3740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1765033
WI
363L00000X
Nurse Practitioner
17650-33
WI
363L00000X
Nurse Practitioner
Primary
209.034881
IL
Other
Enumeration date
10/31/2025
Last updated
06/15/2026
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