Individual
JENNY M DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6640
(618) 433-6645
Mailing address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 288-7408
(618) 288-7418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016029268
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209013936
IL
Other
Enumeration date
11/23/2016
Last updated
09/10/2025
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