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Individual

MRS. JESSICA CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APN, AG-ACNP-BC

Contact information

Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209018066
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018016006
ANCC
IL
Enumeration date
07/20/2018
Last updated
08/01/2023
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