Healthcare Provider Details

I. General information

NPI: 1578940524
Provider Name (Legal Business Name): JENNIFER WESTBROOK A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HOFFMAN

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E US HIGHWAY 6 STE B
UTICA IL
61373-9755
US

IV. Provider business mailing address

530 PARK AVE E
PRINCETON IL
61356-3901
US

V. Phone/Fax

Practice location:
  • Phone: 815-310-5750
  • Fax:
Mailing address:
  • Phone: 815-875-4531
  • Fax: 815-876-3003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277002865
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: