Hamilton, Jenna Lynn
Hamilton, Jenna Lynn is an individual health care provider with primary practice located at 320 E Armstrong Ave , Peoria IL 61603-3172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Hamilton, Jenna Lynn can be contacted via phone (309) 680-7600.Contact Information
Primary practice address
320 E Armstrong Ave
Peoria IL 61603-3172
Phone: (309) 680-7600
Fax: (309) 495-8614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 209013413 | Illinois |
Profile Details
| NPI number | 1679944219 |
|---|---|
| LBN Legal business name | Hamilton, Jenna Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2015 |
| Last updated | Oct 27th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679944219 | NPPES |
| Illinois | Other | 209013413 | IL APN LICENSE |
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