Individual
JENNIFER A. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
420 NE GLEN OAK AVE, SUITE 201, PEORIA, IL 61603-3105
(309) 655-3800
(309) 655-3948
Mailing address
420 NE GLEN OAK AVE, SUITE 201, PEORIA, IL 61603-3105
(309) 655-3800
(309) 655-3948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-011723
IL
Other
Enumeration date
11/25/2014
Last updated
05/08/2019
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