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
Fax: (618) 398-8847
Website:

Health care specialties

SpecialtyCodeLicense #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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