person
Jonathan Edwards
Family Nurse Practitioner in Mendota, Illinois
NPI 1164820312

Jonathan Edwards is a Family Nurse Practitioner based in Mendota, IL and is specialized in Family. Jonathan Edwards practices in Mendota, IL. The NPI Number for Jonathan Edwards is 1164820312 and holds a License No. 209012330 (Illinois).

The current practice location address for Jonathan Edwards is 1405 E 12Th St, Mendota, IL and can be reached out via phone at 815-538-7200 and via fax at 815-539-1444.

Location: 1405 E 12Th St, Mendota, IL, 61342-9010
person
Provider Profile Details
NPI Number
1164820312
Provider Name
Jonathan Edwards
Credential
Provider Entity Type
Individual
Gender
Male
Address
1405 E 12Th St, Mendota, IL, 61342-9010
Phone Number
815-538-7200
Fax Number
815-539-1444
Provider Enumeration Date
12/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1405 E 12Th St
City
State
Zip
61342-9010
Phone Number
815-538-7200
Fax Number
815-539-1444
person
Provider Business Mailing Address Details
Address
1405 E 12Th St
City
State
Zip
61342-9010
Phone Number
815-538-7200
Fax Number
815-539-1444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209012330 (Illinois)
Definition
Definition to come...
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