Lawrence, Jennifer Marie
Lawrence, Jennifer Marie is an individual health care provider with primary practice located at 442 N Il Route 31 , Crystal Lake IL 60012-3709. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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. Lawrence, Jennifer Marie can be contacted via phone (224) 238-3211.Contact Information
Primary practice address
442 N Il Route 31
Crystal Lake IL 60012-3709
Phone: (224) 238-3211
Fax: (224) 535-8215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041.368523 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.014655 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209014655 | 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 10th, 2026 - about 8 months 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 | 1073066437 | NPPES |
| Illinois | Other | 209014655 | STATE LICENSE |
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