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Individual

JENNIFER A BANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 N MAIN ST, ROANOKE, IL 61561-7585
(309) 453-8119
Mailing address
1304 HAMPTON RD, WASHINGTON, IL 61571-1374
(309) 453-8119
(309) 453-8119

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041330830
IL

Other

Enumeration date
07/08/2025
Last updated
08/20/2025
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