JAMBLE LLC NPI 1295278448

NPI Information

NPI: 1295278448
Provider Name: JAMBLE, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
131 CLOVER DR
SUGAR GROVE, IL
ZIP 60554
Phone: (812) 453-2308
Get Directions

JAMBLE, LLC is an adult health nurse practitioner in Sugar Grove, IL. JAMBLE, LLC NPI is 1295278448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 CLOVER DR
SUGAR GROVE, IL
ZIP 60554-228
Phone: (812) 453-2308

The provider's authorized official is Pollyanna C. Vujovic .
The authorized official title is Owner and has the following contact phone number (812) 453-2308.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 8/16/2017.

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	363LA2200X	Nurse Practitioner	Adult Health	209007868	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	S77354	MEDICARE UPIN	ILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »