Individual
JAMIE LEE LANDSVERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
901 W MORTON AVE STE 22, JACKSONVILLE, IL 62650-4021
(217) 588-6140
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 588-6140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007133
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041334217
RN
IL
Enumeration date
07/18/2008
Last updated
04/04/2023
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