Individual
JASON ERIC BRAUNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, ENP-C
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 548-7888
Mailing address
6324 N KENMORE AVE, CHICAGO, IL 60660-1602
(314) 566-2891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209028146
IL
363LF0000X
Family Nurse Practitioner
APN.0996295-NP
CO
Other
Enumeration date
12/14/2020
Last updated
10/30/2023
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