Individual
JENNA LYNN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 E ARMSTRONG AVE, PEORIA, IL 61603-3172
(309) 680-7600
(309) 495-8614
Mailing address
320 E ARMSTRONG AVE, PEORIA, IL 61603-3172
(309) 680-7600
(309) 495-8614
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209013413
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209013413
IL APN LICENSE
IL
Enumeration date
10/08/2015
Last updated
10/27/2015
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