Carroll, Jennifer

Carroll, Jennifer is an sole proprietor health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Carroll, Jennifer can be contacted via phone (309) 692-5394.

Contact Information

Primary practice address
8600 N State Route 91 Suite 250 Peoria IL 61615-9541
Phone: (309) 692-5394
Fax: (309) 692-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209009625 Illinois

Profile Details

NPI number 1356606594
LBN Legal business name Carroll, Jennifer
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2012
Last updated Jul 12th, 2012 - about 14 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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