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Jenale Larae King
Family Nurse Practitioner in Dolton, Illinois
NPI 1619518370

Jenale Larae King is a Family Nurse Practitioner based in Dolton, IL and is specialized in Family. Jenale Larae King practices in Dolton, IL. The NPI Number for Jenale Larae King is 1619518370 and holds a License No. 209017087 (Illinois).

The current practice location address for Jenale Larae King is 14813 Oak St, Dolton, IL and can be reached out via phone at 773-587-6435.

Location: 14813 Oak St, Dolton, IL, 60419-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619518370
Provider Name
Jenale Larae King
Credential
Provider Entity Type
Individual
Gender
Female
Address
14813 Oak St, Dolton, IL, 60419-2609
Phone Number
773-587-6435
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14813 Oak St
City
Dolton
State
Illinois
Zip
60419-2609
Phone Number
773-587-6435
Fax Number
person
Provider Business Mailing Address Details
Address
14813 Oak St
City
Dolton
State
Illinois
Zip
60419-2609
Phone Number
773-587-6435
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209017087 (Illinois)
Definition
Definition to come...
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