Individual
MRS. JANDI JO JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
908 CRYSTAL DR, MACHESNEY PARK, IL 61115-1874
(815) 985-9724
(815) 282-1477
Mailing address
908 CRYSTAL DR, MACHESNEY PARK, IL 61115-1874
(815) 282-1477
(815) 282-1477
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.083080
IL
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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