Individual
KELLI J JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 DIXON RD, ROCK FALLS, IL 61071-1906
(815) 625-4790
(815) 632-5874
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
(815) 632-5829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041416967
IL
Other
Enumeration date
08/21/2019
Last updated
07/06/2021
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