Individual provider · Type 1 NPI

Jenna Pederson

Family Nurse Practitioner · Oak Park, IL

NPI number 1063966158 Active

Practice location

3 Erie Ct Ste 1300
Oak Park, IL 60302-2519

Fax (708) 406-3935

Mailing address

641 W Grand Ave Apt 4
Chicago, IL 60654-5534

Other practice locations

  • 14 Lake St, Oak Park, IL 60302-2606 · (708) 383-9911

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.014598 (IL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1063966158

Jenna Pederson's National Provider Identifier is 1063966158, issued on Aug 7, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oak Park, IL. The record was last updated on Jan 2, 2020.