Individual
JAYLENE M JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1830 MEDITERRANEAN DR, SYCAMORE, IL 60178-3144
(815) 766-3873
(815) 766-7713
Mailing address
1830 MEDITERRANEAN DR, SYCAMORE, IL 60178-3144
(815) 766-3873
(815) 766-7713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009139
IL
Other
Enumeration date
05/09/2021
Last updated
01/17/2023
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