Individual
JANESSA MICHELE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2106
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209008055
IL
Other
Enumeration date
03/04/2010
Last updated
04/09/2018
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