Individual
JENNIFER ANN CHOATIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
250 W KENWOOD AVE, DECATUR, IL 62526-4371
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00332503
RR MEDICARE
IL
Enumeration date
08/11/2006
Last updated
07/18/2022
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