Individual
MRS. JENNIFER LEA SHORT
Active
Individual
MRS. JENNIFER LEA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026030302
MO
363LF0000X
Family Nurse Practitioner
Primary
209.028657
IL
363LF0000X
Family Nurse Practitioner
209028657
IL
Other
Enumeration date
11/14/2023
Last updated
07/10/2026
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