Liebendorfer, Jaycie N
Liebendorfer, Jaycie N is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 1100, Normal IL 61761-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Liebendorfer, Jaycie N can be contacted via phone (309) 268-2727.Contact Information
Primary practice address
1302 Franklin Ave Suite 1100
Normal IL 61761-3551
Phone: (309) 268-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209008461 | Illinois |
Profile Details
| NPI number | 1124329206 |
|---|---|
| LBN Legal business name | Liebendorfer, Jaycie N |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2010 |
| Last updated | Jun 23rd, 2013 - about 11 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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