Jellings, Suzanne

Jellings, Suzanne is an individual health care provider with primary practice located at 526 W State St , Rockford IL 61101-1214. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jellings, Suzanne can be contacted via phone (815) 968-9300.

Contact Information

Primary practice address
526 W State St Rockford IL 61101-1214
Phone: (815) 968-9300
Fax: (815) 968-5314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-363672 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 160574-30 Wisconsin

Profile Details

NPI number 1992077119
LBN Legal business name Jellings, Suzanne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 13 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 1992077119 NPPES
Illinois Other 96000668 ATHLETIC TRAINER

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