Individual
MRS. JACQUELINE L. KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-4511
(618) 526-4537
Mailing address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-4511
(618) 526-4537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006861
IL
363LN0000X
Neonatal Nurse Practitioner
109569
MO
363LN0000X
Neonatal Nurse Practitioner
209006861
IL
Other
Enumeration date
12/11/2007
Last updated
10/07/2024
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