Taft, Jenna

Taft, Jenna is an individual health care provider with primary practice located at 2532 Farragut Dr , Springfield IL 62704-1433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Taft, Jenna can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
2532 Farragut Dr Springfield IL 62704-1433
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 31209 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209027315 Illinois

Profile Details

NPI number 1902551328
LBN Legal business name Taft, Jenna
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2022
Last updated Jul 28th, 2023 - about 2 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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