Individual
JENNIFER K AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 252-6150
Mailing address
HWY 1, ELIZABETHTOWN,, IL 62931
(618) 499-3864
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041347815
IL
163WP2201X
Ambulatory Care Registered Nurse
041347815
IL
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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