Individual
JACKI LIGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
(815) 322-9300
Mailing address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
(815) 322-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012669
IL
Other
Enumeration date
04/29/2015
Last updated
03/03/2021
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