Individual
JODIE D. VANMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
425 E STATE ST., STE 100, JACKSONVILLE, IL 62650-1879
(217) 245-5111
(217) 243-4773
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
(217) 545-4410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
IL
01
—
12469911
CAQH ID
IL
Enumeration date
07/31/2008
Last updated
06/05/2025
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