Individual
JAMIE SCHUPBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 MAIN ST, STE 600, PEORIA, IL 61602-1005
(309) 671-8270
(309) 672-3171
Mailing address
900 MAIN ST, STE 600, PEORIA, IL 61602-1005
(309) 671-8270
(309) 672-3171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014135
IL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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