Individual
MRS. JACQUELINE G MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
612 ROXBURY RD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41177965
IL
363L00000X
Nurse Practitioner
Primary
209001516
IL
363LF0000X
Family Nurse Practitioner
209001516
IL
Other
Enumeration date
06/07/2006
Last updated
04/22/2011
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