Individual
JENNIFER S PEMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3266
(217) 383-3463
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
2020010760
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
209009760
IL
Other
Enumeration date
09/19/2012
Last updated
05/19/2022
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