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NPI Code Detail

MEDICARE: JENNIFER OFFEN MS, RN, FNP-BC

MEDICARE:   JENNIFER  OFFEN  MS, RN, 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
1363LF0000XFamily Nurse Practitioner209014220IL

General Provider Information

NPI Number : 1437588472
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER OFFEN MS, RN, FNP-BC
Provider Business Mailing Address
First Line : 6150 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60660-2538
Country : US
Telephone Number : 773-274-9337
Fax Number :
Provider Business Practice Location Address
First Line : 6150 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60660-2538
Country : US
Telephone Number : 773-274-9337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2013
Last Update Date : 04/09/2016

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Directions to “ JENNIFER OFFEN MS, RN, FNP-BC” Practice Location

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