Individual
MS. JEANNE M OELERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FPA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041300447
IL
363LA2200X
Adult Health Nurse Practitioner
041-300447
IL
364SX0200X
Oncology Clinical Nurse Specialist
Primary
277000260
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
993010
PTAN GROUP
—
01
—
K49680
PTAN INDIVIDUAL
IL
Enumeration date
03/02/2006
Last updated
07/20/2020
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