MEDICARE: JOSLYN CHRISTOPHER 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
1	363LF0000X	Family Nurse Practitioner	1071325	TX
2	363LF0000X	Family Nurse Practitioner	209022230	IL

General Provider Information

NPI Number	:	1326612136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSLYN CHRISTOPHER FNP-BC

Provider Business Mailing Address
First Line	:	2045 PLUM GROVE RD
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-1992
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 PLUM GROVE RD
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-1992
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2021
Last Update Date	:	02/16/2024

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