Individual
MS. JENNIFER LYNN RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61603-3133
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61603-3133
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209007635
IL
Other
Enumeration date
07/08/2009
Last updated
10/22/2012
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