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Jenny Wagner
Nurse Practitioner in Peoria, Illinois
NPI 1063885556

Jenny Wagner is a Nurse Practitioner based in Peoria, IL. Jenny Wagner practices in Peoria, IL. The NPI Number for Jenny Wagner is 1063885556 and holds a License No. 209.013545 (Illinois).

The current practice location address for Jenny Wagner is 100 Ne Randolph Ave, Peoria, IL and can be reached out via phone at 309-624-8500 and via fax at 309-624-8552.

Location: 100 Ne Randolph Ave, Peoria, IL, 61606-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063885556
Provider Name
Jenny Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Ne Randolph Ave, Peoria, IL, 61606-1919
Phone Number
309-624-8500
Fax Number
309-624-8552
Provider Enumeration Date
11/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Ne Randolph Ave
City
Peoria
State
Illinois
Zip
61606-1919
Phone Number
309-624-8500
Fax Number
309-624-8552
person
Provider Business Mailing Address Details
Address
100 Ne Randolph Ave
City
Peoria
State
Illinois
Zip
61606-1919
Phone Number
309-624-8500
Fax Number
309-624-8552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.013545 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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