Jodel Lynn Powers FNP-BC

NPI 1083966188 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083966188
Gender Female
Enumeration Date 10/12/2012
Last Updated 10/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5841 S. MARYLAND AVE.
RM E-500, MC 5040
CHICAGO IL, 60637, US
Phone (773) 702-3554
Fax
Business Location
5841 S. MARYLAND AVE.
RM E-500, MC 5040
CHICAGO IL, 60637, US
Phone (773) 702-3554
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209.009840
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According to our database, Ms. Jodel Lynn Powers FNP-BC NPI is 1083966188, taxonomy code is 363LF0000X and license number is 209.009840, license state is located at Illinois. Jodel Lynn Powers FNP-BC physically located at 5841 S. Maryland Ave., Chicago IL, 60637. NPI Number Jodel Lynn Powers FNP-BC has the Individual type.

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1083966188 NPI number is provided on an as is basis without warranty of any kind. 1083966188 is maintained by the National Plan & Provider Enumeration System. The contents of Jodel Lynn Powers FNP-BC are for informational purposes only.