Lawrence, Jennifer Marie

Lawrence, Jennifer Marie is an individual health care provider with primary practice located at 4309 W Medical Center Dr Suite A200, Mchenry IL 60050. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lawrence, Jennifer Marie can be contacted via phone (815) 759-8200.

Contact Information

Primary practice address
4309 W Medical Center Dr Suite A200 Mchenry IL 60050
Phone: (815) 759-8200
Fax: (815) 759-4257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.368523 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014655 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.014655 Illinois

Profile Details

NPI number 1073066437
LBN Legal business name Lawrence, Jennifer Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Feb 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073066437 NPPES
Illinois Other 209014655 STATE LICENSE

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