Jennings, Emily Jo

Jennings, Emily Jo is an individual health care provider with primary practice located at 3225 Hedley Rd , Springfield IL 62711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jennings, Emily Jo can be contacted via phone (217) 726-7300.

Contact Information

Primary practice address
3225 Hedley Rd Springfield IL 62711
Fax: (217) 726-5989
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.017973 Illinois

Profile Details

NPI number 1871070797
LBN Legal business name Jennings, Emily Jo
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Apr 26th, 2024 - about last year

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 1871070797 NPPES
Illinois Other 041402770 RN LICENSE

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