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Individual

MRS. JENNIFER GHEKIERE-DACUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC

Contact information

Practice address
3375 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-1000
Mailing address
524 GOODSILL DR, EAST GALESBURG, IL 61430-9731
(406) 945-4886

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.028930
IL
363LA2100X
Acute Care Nurse Practitioner
209.028930
IL
363LA2200X
Adult Health Nurse Practitioner
209.028930
IL
363LG0600X
Gerontology Nurse Practitioner
209.028930
IL

Other

Enumeration date
11/29/2023
Last updated
11/29/2023
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