MRS. JENNIFER MARIE JUNCK CPNP NPI 1245304534

NPI Information

NPI: 1245304534
Provider Name: MRS. JENNIFER MARIE JUNCK, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3100 SYCAMORE RD
SUITE 1024
DEKALB, IL
ZIP 60115
Phone: (815) 752-3253
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MRS. Jennifer Marie Junck, CPNP is a pediatrics nurse practitioner in Dekalb, IL. MRS. Jennifer Marie Junck, CPNP NPI is 1245304534. 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:

3100 SYCAMORE RD
SUITE 1024
DEKALB, IL
ZIP 60115-621
Phone: (815) 752-3253
Fax: (815) 752-3277

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/7/2011.

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	363LP0200X	Nurse Practitioner	Pediatrics	20061649	MINNESOTA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	209008728	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T01064	MEDICARE PIN	ILLINOIS
2	Q72783	MEDICARE UPIN	MINNESOTA

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: 5/5/2024

NPI Synchronization or Removal

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