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Individual

JESSICA MARIE EMBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
112 GILES DR, MACKINAW, IL 61755-7508
(309) 635-2663

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016328
IL

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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