MS. JENNIFER LYNN RUNYON MSN APN NPI 1972732246

NPI Information

  • NPI: 1972732246
  • Provider Name: MS. JENNIFER LYNN RUNYON, MSN, APN
  • Classification: Clinical Nurse Specialist - 364SA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 NE GLEN OAK AVE
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 655-2000

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NPI Details

MS. Jennifer Lynn Runyon, MSN, APN is an adult health clinical nurse specialist in Peoria, IL with 17 years of experience. MS. Jennifer Lynn Runyon, MSN, APN NPI is 1972732246. 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:

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603-133
Phone: (309) 655-2000

The NPI 1972732246 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 7/8/2009 and was last updated on 10/22/2012.

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
1364SA2200XClinical Nurse SpecialistAdult Health209007635ILLINOISYes

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
1IL5306014MEDICARE PINILLINOIS
2210426016MEDICARE PINILLINOIS

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: 3/30/2025

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