Individual
DR. JENNIFER MARIE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0917
Mailing address
333 S COLUMBIA ST, 230 MACNIDER HALL CB #7593, CHAPEL HILL, NC 27599-0001
(919) 843-9944
(919) 966-8419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
219249
NC
Other
Enumeration date
05/12/2016
Last updated
07/10/2023
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