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Individual

MS. JEANETTE MARIE EDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS APRN CWOCN CFC

Contact information

Practice address
5979 SOUTHDOWN LN, ROSCOE, IL 61073-8375
(815) 871-4747
Mailing address
5979 SOUTHDOWN LN, ROSCOE, IL 61073-8375
(815) 871-4747

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209003232
IL

Other

Enumeration date
01/17/2006
Last updated
04/28/2014
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