Liebendorfer, Jaycie N

Liebendorfer, Jaycie N is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 1100, Normal IL 61761-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Liebendorfer, Jaycie N can be contacted via phone (309) 268-2727.

Contact Information

Primary practice address
1302 Franklin Ave Suite 1100 Normal IL 61761-3551
Phone: (309) 268-2727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008461 Illinois

Profile Details

NPI number 1124329206
LBN Legal business name Liebendorfer, Jaycie N
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2010
Last updated Jun 23rd, 2013 - about 13 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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