Individual
MS. LAURA ELLEN JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5811
Mailing address
5639 MIDLOTHIAN TPKE, MIDLOTHIAN, IL 60445-2143
(708) 388-3731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-247703
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
029-009672
IL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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