Pemble, Jennifer S

Pemble, Jennifer S is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Pemble, Jennifer S can be contacted via phone (217) 383-3266.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3266
Fax: (217) 383-3463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2020010760 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 209009760 Illinois

Profile Details

NPI number 1811248651
LBN Legal business name Pemble, Jennifer S
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated May 19th, 2022 - 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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