Runyon, Jennifer Lynn

Runyon, Jennifer Lynn is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61603-3133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Runyon, Jennifer Lynn can be contacted via phone (309) 655-2000.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61603-3133
Phone: (309) 655-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209007635 Illinois

Profile Details

NPI number 1972732246
LBN Legal business name Runyon, Jennifer Lynn
Credentials MSN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Oct 22nd, 2012 - about 14 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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