Feucht, Jeanette Marie

Feucht, Jeanette Marie is an individual health care provider with primary practice located at 1505 Eastland Dr Suite 220, Bloomington IL 61701. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Feucht, Jeanette Marie can be contacted via phone (309) 585-0370.

Contact Information

Primary practice address
1505 Eastland Dr Suite 220 Bloomington IL 61701
Phone: (309) 585-0370
Fax: (309) 663-2956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-303083 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 018212 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-005113 Illinois

Profile Details

NPI number 1467451781
LBN Legal business name Feucht, Jeanette Marie
Credentials MSN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467451781 NPPES
Other P00761350 RR MEDICARE INDIVIDUAL #
Other 833120 RR MEDICARE INDIVIDUAL #
Other CA2264 RR MEDICARE INDIVIDUAL #

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