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NPI Code Detail

MEDICARE: JENNIFER NICOLE JESANI APRN, FNP-BC

MEDICARE: JENNIFER NICOLE JESANI APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041.367062IL
2363LF0000XFamily Nurse Practitioner209.018665IL
3363L00000XNurse Practitioner209018665IL

General Provider Information

NPI Number : 1306300421
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NICOLE JESANI APRN, FNP-BC
Provider Business Mailing Address
First Line : 15300 WEST AVE STE 20
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4504
Country : US
Telephone Number : 708-460-5550
Fax Number : 708-226-2595
Provider Business Practice Location Address
First Line : 15300 WEST AVE STE 20
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-4504
Country : US
Telephone Number : 708-460-5550
Fax Number : 708-226-2595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 06/03/2024

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Directions to “ JENNIFER NICOLE JESANI APRN, FNP-BC” Practice Location

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