Berkley, Jennifer Alice

Berkley, Jennifer Alice is an individual health care provider with primary practice located at 2200 Fort Jesse Rd , Normal IL 61761-6286. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Berkley, Jennifer Alice can be contacted via phone (309) 661-6290.

Contact Information

Primary practice address
2200 Fort Jesse Rd Normal IL 61761-6286
Phone: (309) 661-6290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209009932 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012345 Illinois

Profile Details

NPI number 1295088391
LBN Legal business name Berkley, Jennifer Alice
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2012
Last updated Mar 29th, 2017 - about 7 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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