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Individual

JENNIFER MICHELLE SCHENCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP, RN

Contact information

Practice address
791 WALL ST STE 100, O FALLON, IL 62269-2087
(283) 212-2790
(618) 206-6451
Mailing address
791 WALL ST STE 100, O FALLON, IL 62269-2087
(283) 223-7997
(618) 206-6451

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
377-001592
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87-2530297
INDIVIDUAL
IL
Enumeration date
11/09/2005
Last updated
03/17/2026
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