Kelsey, Jennifer Michelle

Kelsey, Jennifer Michelle is an individual health care provider with primary practice located at 420 Ne Glen Oak Avenue, Suite 401 , Peoria IL 61603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Kelsey, Jennifer Michelle can be contacted via phone (815) 530-4682.

Contact Information

Primary practice address
420 Ne Glen Oak Avenue, Suite 401 Peoria IL 61603
Phone: (815) 530-4682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209.012384 Illinois

Profile Details

NPI number 1861860058
LBN Legal business name Kelsey, Jennifer Michelle
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2015
Last updated Oct 20th, 2016 - about 10 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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