Individual provider · Type 1 NPI
Jessica Marie Embry, APN
Family Nurse Practitioner · Peoria, IL
NPI number
1114443769
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
112 Giles Dr
Mackinaw, IL 61755-7508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.016328 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114443769
Jessica Marie Embry, APN's National Provider Identifier is 1114443769, issued on Aug 16, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Aug 16, 2017.