Individual
MRS. JENNIFER ELIZABETH KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
203 S MAIN ST, DIETERICH, IL 62424
(217) 925-5730
(217) 925-5736
Mailing address
1207 NETWORK CENTRE DR STE 3, EFFINGHAM, IL 62401-4632
(217) 347-2707
(217) 347-2827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041359392
RN LICENSE
IL
01
—
209008758
NURSE PRACTITIONER LICENSE
IL
Enumeration date
04/06/2011
Last updated
06/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us