Jenna T Buss ANP-BC

NPI 1013261361 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1013261361
Gender Female
Enumeration Date 11/07/2012
Last Updated 05/24/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
360 STATION DR
SUITE 210
CRYSTAL LAKE IL, 60014-7978, US
Phone (815) 477-8900
Fax (815) 477-7160
Business Location
360 STATION DR
SUITE 120
CRYSTAL LAKE IL, 60014-7978, US
Phone (815) 477-8900
Fax (815) 477-7160
Toxanomy
Taxonomy Code 363LA2200X
License State Illinois
License Number 209009979
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According to our database, Miss Jenna T Buss ANP-BC NPI is 1013261361, taxonomy code is 363LA2200X and license number is 209009979, license state is located at Illinois. Jenna T Buss ANP-BC physically located at 360 Station Dr, Crystal Lake IL, 60014-7978. NPI Number Jenna T Buss ANP-BC has the Individual type.

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1013261361 NPI number is provided on an as is basis without warranty of any kind. 1013261361 is maintained by the National Plan & Provider Enumeration System. The contents of Jenna T Buss ANP-BC are for informational purposes only.