Individual provider · Type 1 NPI

Jeric Agnes, FNP-BC

Adult Health Nurse Practitioner · Long Grove, IL

NPI number 1114532611 Active

Practice location

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292

Fax (847) 719-2265

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041435789 (IL)
Family Nurse Practitioner 363LF0000X209021968 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209021968 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114532611

Jeric Agnes, FNP-BC's National Provider Identifier is 1114532611, issued on Sep 10, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Long Grove, IL. The record was last updated on Oct 25, 2023.