Individual provider · Type 1 NPI

Kelly Marie Jordan-Licht

Registered Nurse · Yorkville, IL

NPI number 1114422573 Active

Practice location

811 W John St # 126
Yorkville, IL 60560-9249

Fax (630) 553-9604

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041317669 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114422573

Kelly Marie Jordan-Licht's National Provider Identifier is 1114422573, issued on Mar 28, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Yorkville, IL. The record was last updated on Mar 28, 2018.