Individual
JESSICA LYNN NOWAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14701 PULASKI RD, MIDLOTHIAN, IL 60445-3410
(866) 389-2727
Mailing address
14701 PULASKI RD, MIDLOTHIAN, IL 60445-3410
(708) 239-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024257
IL
Other
Enumeration date
12/23/2021
Last updated
12/28/2021
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