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Gina Fernando
Family Nurse Practitioner in Rockford, Illinois
NPI 1750907861

Gina Fernando is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Gina Fernando practices in Rockford, IL. The NPI Number for Gina Fernando is 1750907861 and holds a License No. 209021437 (Illinois).

The current practice location address for Gina Fernando is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600.

Location: 1200 W State St, Rockford, IL, 61102-2112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750907861
Provider Name
Gina Fernando
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209021437 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
person
Provider Business Mailing Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209021437 (Illinois)
Definition
Definition to come...
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