Individual
JAMIE DOUBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1001 MAIN ST, 3RD FLOOR, PEORIA, IL 61606-1907
(309) 495-0200
Mailing address
1001 MAIN ST, 3RD FLOOR, PEORIA, IL 61606-1907
(309) 495-0200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041340647
IL
364S00000X
Clinical Nurse Specialist
Primary
209008156
IL
Other
Enumeration date
04/16/2010
Last updated
11/22/2013
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