Individual
JENNIFER LORRAINE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5500
Mailing address
3409 WINDMILL RD, BLOOMINGTON, IL 61704-1224
(309) 999-1090
(309) 999-1094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020878
IL
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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