Individual
JENNIFER L CALDERALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 306-2700
(815) 306-2715
Mailing address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 306-2700
(815) 306-2715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041376559
IL
363L00000X
Nurse Practitioner
Primary
209011970
IL
Other
Enumeration date
12/22/2014
Last updated
05/16/2022
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