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Jailson Souza Nascimento, APN
Primary Care Nurse Practitioner in Peoria, Illinois
NPI 1881912392

Jailson Souza Nascimento is a Primary Care Nurse Practitioner based in Peoria, IL and is specialized in Primary Care. Jailson Souza Nascimento practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Jailson Souza Nascimento is 1881912392 and holds a License No. 209008150 (Illinois).

The current practice location address for Jailson Souza Nascimento is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-642-8818.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
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Provider Profile Details
NPI Number
1881912392
Provider Name
Jailson Souza Nascimento
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-642-8818
Fax Number
Provider Enumeration Date
05/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-642-8818
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-642-8818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209017468 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
209008150 (Illinois)
Definition
Definition to come...
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