Individual
JENNIFER LYNN EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N 10TH ST, MASCOUTAH, IL 62258-1017
(618) 566-2183
Mailing address
1406 CENTERPOINT CIR APT 305, SHILOH, IL 62269-2055
(859) 693-1167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024552
IL
363LF0000X
Family Nurse Practitioner
APRN11008994
FL
Other
Enumeration date
05/28/2021
Last updated
01/12/2025
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