Individual
MS. JENNA MARIE CHURNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 398-8840
(618) 398-8847
Mailing address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 398-8840
(618) 398-8847
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
99131
TX
363LF0000X
Family Nurse Practitioner
2022002039
MO
363LF0000X
Family Nurse Practitioner
Primary
209.024784
IL
Other
Enumeration date
09/23/2011
Last updated
06/06/2022
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