Anderson, Jaelyn Lois
Anderson, Jaelyn Lois is an individual health care provider with primary practice located at 70 Meadowview Ctr Ste 200 , Kankakee IL 60901-2063. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Jaelyn Lois can be contacted via phone (815) 802-0000.Contact Information
Primary practice address
70 Meadowview Ctr Ste 200
Kankakee IL 60901-2063
Phone: (815) 802-0000
Fax: (815) 935-1000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209021128 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71010380A | Indiana |
Profile Details
| NPI number | 1659909372 |
|---|---|
| LBN Legal business name | Anderson, Jaelyn Lois |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2020 |
| Last updated | Feb 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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