person
Agnes A. Fenner
Family Nurse Practitioner in Jacksonville, Illinois
NPI 1528518602

Agnes A. Fenner is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Agnes A. Fenner practices in Jacksonville, IL. The NPI Number for Agnes A. Fenner is 1528518602 and holds a License No. 209014954 (Illinois).

The current practice location address for Agnes A. Fenner is 15 Founders Ln, Jacksonville, IL and can be reached out via phone at 217-528-7541 and via fax at 217-527-3844.

Location: 15 Founders Ln, Jacksonville, IL, 62703-2403
person
Provider Profile Details
NPI Number
1528518602
Provider Name
Agnes A. Fenner
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Founders Ln, Jacksonville, IL, 62703-2403
Phone Number
217-528-7541
Fax Number
217-527-3844
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Founders Ln
City
State
Zip
62650-3919
Phone Number
217-528-7541
Fax Number
217-527-3844
person
Provider Business Mailing Address Details
Address
15 Founders Ln
City
State
Zip
62650-3919
Phone Number
217-528-7541
Fax Number
217-527-3844
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209014954 (Illinois)
Definition
Definition to come...
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