Individual
JAYCIE N LIEBENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2100
(309) 664-3130
(309) 664-3258
Mailing address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3130
(309) 664-3258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209008461
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209008461
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209008461
IL
Other
Enumeration date
11/05/2010
Last updated
02/25/2025
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