Individual
JORI RETTERER CARNITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MSN
Contact information
Practice address
1949 S BRIDGE ST, YORKVILLE, IL 60560-9851
(331) 259-4994
(630) 385-2934
Mailing address
1949 S BRIDGE ST, YORKVILLE, IL 60560-9851
(331) 259-4994
(630) 385-2934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
377.001687
IL
363LF0000X
Family Nurse Practitioner
377.001687
IL
Other
Enumeration date
10/15/2012
Last updated
04/30/2024
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