Individual provider · Type 1 NPI
Jennett Kyen Atanga Ii
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1053890004
Active
Practice location
820 S Damen Ave
Chicago, IL 60612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209018017 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209018017 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1053890004
Jennett Kyen Atanga Ii's National Provider Identifier is 1053890004, issued on Aug 10, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Sep 7, 2018.