Individual
MS. JENESSA LUCIA PISCOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1775 DEMPSTER ST STE E592C, PARK RIDGE, IL 60068-1143
(312) 609-0300
(847) 723-4378
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209024999
IL
363LF0000X
Family Nurse Practitioner
209024999
IL
Other
Enumeration date
09/11/2023
Last updated
04/30/2025
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