Individual
JENI LYNN ZOLFAGHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
1603 TULLAMORE AVE STE A, BLOOMINGTON, IL 61704-9623
(309) 808-6407
(309) 807-5478
Mailing address
133 SPINDER DR, STE. 4015, EAST PEORIA, IL 61611-0016
(309) 308-5100
(309) 308-5102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018441
IL
Other
Enumeration date
02/18/2019
Last updated
09/03/2024
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