Churnock, Jenna Marie
Churnock, Jenna Marie is an individual health care provider with primary practice located at 7210 W Main St , Belleville IL 62223-3038. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Churnock, Jenna Marie can be contacted via phone (618) 398-8840.Contact Information
Primary practice address
7210 W Main St
Belleville IL 62223-3038
Phone: (618) 398-8840
Fax: (618) 398-8847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | 99131 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2022002039 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.024784 | Illinois |
Profile Details
NPI number | 1285917492 |
---|---|
LBN Legal business name | Churnock, Jenna Marie |
Credentials | DNP, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2011 |
Last updated | Jun 6th, 2022 - 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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