Individual
JENNIFER MOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 EASTLAND DR, BLOOMINGTON, IL 61701-3534
(309) 663-2100
(309) 663-8322
Mailing address
1505 EASTLAND DR, BLOOMINGTON, IL 61701-3534
(309) 663-2100
(309) 663-8322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041-325638
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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