Alexander, Jennifer Christine

Alexander, Jennifer Christine is an individual health care provider with primary practice located at 2511 N Main St , East Peoria IL 61611-1783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Alexander, Jennifer Christine can be contacted via phone (309) 670-0459.

Contact Information

Primary practice address
2511 N Main St East Peoria IL 61611-1783
Phone: (309) 670-0459
Fax: (309) 670-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277002366 Illinois

Profile Details

NPI number 1992233977
LBN Legal business name Alexander, Jennifer Christine
Credentials APN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2017
Last updated Feb 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992233977 NPPES
Other 377002279 FULL PRACTICE AUTHORITY CS LICENSE
Other 277002366 FULL PRACTICE AUTHORITY CS LICENSE

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