Organization
JAMBLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POLLYANNA C. VUJOVIC M.S.N., FNP (OWNER)
(812) 453-2308
Entity
Organization
Contact information
Practice address
131 CLOVER DR, SUGAR GROVE, IL 60554-9228
(812) 453-2308
Mailing address
131 CLOVER DR, SUGAR GROVE, IL 60554-9228
(812) 453-2308
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209007868
IL
Other
Enumeration date
11/21/2016
Last updated
08/16/2017
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