Individual
AMANDA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
310 N HAMMES AVE, STE 202, JOLIET, IL 60435-8118
(815) 741-2285
(815) 741-2285
Mailing address
310 N HAMMES AVE, STE 202, JOLIET, IL 60435-8118
(815) 741-2285
(815) 741-2285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014635
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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