Healthcare Provider Details

I. General information

NPI: 1881906410
Provider Name (Legal Business Name): HEATHER JEFFORD DNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER HOWE

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN ST 3RD FLOOR
PEORIA IL
61606
US

IV. Provider business mailing address

PO BOX 19248
SPRINGFIELD IL
62794-9248
US

V. Phone/Fax

Practice location:
  • Phone: 309-495-0200
  • Fax: 309-676-6545
Mailing address:
  • Phone: 217-528-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number209008218
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number209008218
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: