person
Jacqueline Ann Bode, APN
Family Nurse Practitioner in Champaign, Illinois
NPI 1245572213

Jacqueline Ann Bode is a Family Nurse Practitioner based in Saint Jacob, IL and is specialized in Family. Jacqueline Ann Bode practices in Champaign, IL and has the professional credentials of APN. The NPI Number for Jacqueline Ann Bode is 1245572213 and holds a License No. 277.002017 (Illinois).

The current practice location address for Jacqueline Ann Bode is 205 W Park Ave Ste 103, Champaign, IL and can be reached out via phone at 217-284-6236.

Location: 205 W Park Ave Ste 103, Champaign, IL, 62281-1247
person
Provider Profile Details
NPI Number
1245572213
Provider Name
Jacqueline Ann Bode
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
205 W Park Ave Ste 103, Champaign, IL, 62281-1247
Phone Number
217-284-6236
Fax Number
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 W Park Ave Ste 103
City
State
Zip
61820-7888
Phone Number
217-284-6236
Fax Number
person
Provider Business Mailing Address Details
Address
205 W Park Ave Ste 103
City
State
Zip
61820-7888
Phone Number
217-284-6236
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
277.002017 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
277.002017 (Illinois)
Definition
Definition to come...
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