Individual
JENNIFER MARIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 681-6960
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 681-6960
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209028264
IL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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