JACQUELINE RENEE KAUFMAN APN NPI 1679872477

NPI Information

NPI: 1679872477
Provider Name: JACQUELINE RENEE KAUFMAN, APN
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
200 E PENNSYLVANIA AVE
PEORIA, IL
ZIP 61603
Phone: (309) 624-4000
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Jacqueline Renee Kaufman, APN is an adult health clinical nurse specialist in Peoria, IL with 14 years of experience. Jacqueline Renee Kaufman, APN NPI is 1679872477. 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:

200 E PENNSYLVANIA AVE
PEORIA, IL
ZIP 61603-089
Phone: (309) 624-4000
Fax: (309) 624-4010

The NPI 1679872477 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 3/18/2011 and was last updated on 11/12/2019.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	209008724	ILLINOIS	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	277000296	ILLINOIS	Yes

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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