JENNIFER M GUDGEL APRN NPI 1720793052

NPI Information

NPI: 1720793052
Provider Name: JENNIFER M GUDGEL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
901 W MORTON AVE STE 22
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 588-6140
Get Directions

Jennifer M Gudgel, APRN is a family nurse practitioner in Jacksonville, IL with 2 years of experience. Jennifer M Gudgel, APRN NPI is 1720793052. 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:

901 W MORTON AVE STE 22
JACKSONVILLE, IL
ZIP 62650-021
Phone: (217) 588-6140
Fax: (217) 527-3043

The NPI 1720793052 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 1/20/2023 and was last updated on 10/11/2023.

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	163W00000X	Registered Nurse		041393189	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209026802	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	209.026802	OTHER	ILLINOIS	APN
2	041393189	OTHER	ILLINOIS	RN LICENSE

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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