Daniels, Jenny M

Daniels, Jenny M is an sole proprietor health care provider with primary practice located at 2023 Vadalabene Dr Suite 200, Maryville IL 62062-5630. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Daniels, Jenny M can be contacted via phone (618) 288-7408.

Contact Information

Primary practice address
2023 Vadalabene Dr Suite 200 Maryville IL 62062-5630
Phone: (618) 288-7408
Fax: (618) 288-7418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016029268 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209013936 Illinois

Profile Details

NPI number 1346783230
LBN Legal business name Daniels, Jenny M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2016
Last updated Feb 26th, 2021 - about 4 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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