Diers, Jennifer Ann

Diers, Jennifer Ann is an individual health care provider with primary practice located at 408 E Vine St , Vienna IL 62995-1612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Practical Nurse. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Diers, Jennifer Ann can be contacted via phone (618) 658-2611.

Contact Information

Primary practice address
408 E Vine St Vienna IL 62995-1612
Phone: (618) 658-2611
Fax: (618) 658-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043024214 Illinois

Profile Details

NPI number 1487898870
LBN Legal business name Diers, Jennifer Ann
Credentials LPN, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 29th, 2009 - about 15 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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