Individual
JEFFERY ZETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
350 W CARPENTER ST, SPRINGFIELD, IL 62702-4902
(217) 528-7541
(217) 606-3035
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017063
IL
363LF0000X
Family Nurse Practitioner
Primary
209017063
IL
Other
Enumeration date
01/08/2018
Last updated
11/11/2025
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