Individual
MRS. JENNIFER MARIE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2826 W LOCUST ST, DAVENPORT, IA 52804-3354
(563) 332-8528
(563) 445-8672
Mailing address
2379 30TH ST, MOLINE, IL 61265-4344
(309) 429-7887
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.086635
IL
164W00000X
Licensed Practical Nurse
P46329
IA
Other
Enumeration date
05/11/2011
Last updated
11/15/2025
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