Jankowski, Laci Christine

Jankowski, Laci Christine is an individual health care provider with primary practice located at 1501 Mcpherson Ave , Mount Vernon IL 62864-2831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jankowski, Laci Christine can be contacted via phone (618) 241-1360.

Contact Information

Primary practice address
1501 Mcpherson Ave Mount Vernon IL 62864-2831
Phone: (618) 241-1360
Fax: (618) 241-1865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 041-398735 Illinois

Profile Details

NPI number 1689945339
LBN Legal business name Jankowski, Laci Christine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 5th, 2021 - about 3 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 1689945339 NPPES
Illinois Other 041-398735 STATE OF ILLINOIS LICENSES NUMBER

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