person
Jennifer Lee Kolettis, NP-C
Family Nurse Practitioner in Peoria, Illinois
NPI 1790256303

Jennifer Lee Kolettis is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Jennifer Lee Kolettis practices in Peoria, IL and has the professional credentials of NP-C. The NPI Number for Jennifer Lee Kolettis is 1790256303 and holds a License No. 041-427636 (Illinois).

The current practice location address for Jennifer Lee Kolettis is 320 E Armstrong Ave, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-495-8614.

Location: 320 E Armstrong Ave, Peoria, IL, 61604-3221
person
Provider Profile Details
NPI Number
1790256303
Provider Name
Jennifer Lee Kolettis
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
320 E Armstrong Ave, Peoria, IL, 61604-3221
Phone Number
309-680-7600
Fax Number
309-495-8614
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 E Armstrong Ave
City
State
Zip
61603-3172
Phone Number
309-680-7600
Fax Number
309-495-8614
person
Provider Business Mailing Address Details
Address
320 E Armstrong Ave
City
State
Zip
61603-3172
Phone Number
309-680-7600
Fax Number
309-495-8614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
041-427636 (Illinois)
Definition
Definition to come...
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