Choatie, Jennifer Ann

Choatie, Jennifer Ann is an individual health care provider with primary practice located at 250 W Kenwood Ave , Decatur IL 62526-4371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Choatie, Jennifer Ann can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
250 W Kenwood Ave Decatur IL 62526-4371
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277002089 Illinois

Profile Details

NPI number 1720090772
LBN Legal business name Choatie, Jennifer Ann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 18th, 2022 - about 3 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 1720090772 NPPES
Illinois Other P00332503 RR MEDICARE

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