JAELYN LOIS ANDERSON FNP-BC NPI 1659909372

NPI Information

NPI: 1659909372
Provider Name: JAELYN LOIS ANDERSON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
70 MEADOWVIEW CTR STE 200
KANKAKEE, IL
ZIP 60901
Phone: (815) 802-0000
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Jaelyn Lois Anderson, FNP-BC is a family nurse practitioner in Kankakee, IL. Jaelyn Lois Anderson, FNP-BC NPI is 1659909372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

70 MEADOWVIEW CTR STE 200
KANKAKEE, IL
ZIP 60901-063
Phone: (815) 802-0000
Fax: (815) 935-1000

The NPI 1659909372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2020 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209021128	ILLINOIS	Yes
2	363L00000X	Nurse Practitioner		71010380A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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