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Individual

JENNIFER BROOKE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
401 N MAIN ST, ROANOKE, IL 61561-7585
(309) 923-2661
Mailing address
1057 50TH ST, ROSEVILLE, IL 61473-9218
(309) 224-0214

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023220
IL

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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