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Mrs. Jennifer Lea Short, APRN
Family Nurse Practitioner in Granite City, Illinois
NPI 1487428066

Jennifer Lea Short is a Family Nurse Practitioner based in Edwardsville, IL and is specialized in Family. Jennifer Lea Short practices in Granite City, IL and has the professional credentials of APRN. The NPI Number for Jennifer Lea Short is 1487428066 and holds a License No. 209.028657 (Illinois).

The current practice location address for Jennifer Lea Short is 50 Northgate Industrial Dr, Granite City, IL and can be reached out via phone at 618-877-4420.

Location: 50 Northgate Industrial Dr, Granite City, IL, 62025-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487428066
Provider Name
Jennifer Lea Short
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
50 Northgate Industrial Dr, Granite City, IL, 62025-4731
Phone Number
618-877-4420
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 Northgate Industrial Dr
City
Granite City
State
Illinois
Zip
62040-6805
Phone Number
618-877-4420
Fax Number
person
Provider Business Mailing Address Details
Address
50 Northgate Industrial Dr
City
Granite City
State
Illinois
Zip
62040-6805
Phone Number
618-877-4420
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.028657 (Illinois)
Definition
Definition to come...
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