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Jennifer K Fogle, APN
Family Nurse Practitioner in Decatur, Illinois
NPI 1346752557

Jennifer K Fogle is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Jennifer K Fogle practices in Decatur, IL and has the professional credentials of APN. The NPI Number for Jennifer K Fogle is 1346752557 and holds a License No. 209016606 (Illinois).

The current practice location address for Jennifer K Fogle is 4455 E Us Route 36, Decatur, IL and can be reached out via phone at 217-876-5320 and via fax at 217-876-5865.

Location: 4455 E Us Route 36, Decatur, IL, 62708-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346752557
Provider Name
Jennifer K Fogle
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4455 E Us Route 36, Decatur, IL, 62708-3428
Phone Number
217-876-5320
Fax Number
217-876-5865
Provider Enumeration Date
10/27/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209016606 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
4455 E Us Route 36
City
Decatur
State
Illinois
Zip
62521-5003
Phone Number
217-876-5320
Fax Number
217-876-5865
person
Provider Business Mailing Address Details
Address
4455 E Us Route 36
City
Decatur
State
Illinois
Zip
62521-5003
Phone Number
217-876-5320
Fax Number
217-876-5865
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016606 (Illinois)
Definition
Definition to come...
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