Individual
AMY N. HAEFELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 W MORTON AVE, JACKSONVILLE, IL 62650
(217) 528-7541
(217) 243-9030
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209014661
LICENSE
IL
Enumeration date
08/04/2016
Last updated
05/22/2020
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