Individual
JACQUELYN SAENGMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1415 E STATE ST, 800, ROCKFORD, IL 61104-2333
(779) 696-9120
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041392023
IL
363L00000X
Nurse Practitioner
Primary
209-015333
IL
Other
Enumeration date
11/04/2016
Last updated
03/10/2021
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