Individual
MRS. JENNIFER LYN FITZER
Active
Individual
MRS. JENNIFER LYN FITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041308450
IL
363LF0000X
Family Nurse Practitioner
Primary
209007791
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
209-007791
IL
Other
Enumeration date
05/21/2010
Last updated
11/20/2023
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