Individual provider · Type 1 NPI
Jamie Hultgren, FNP-BC
Nurse Practitioner · Carbondale, IL
Practice location
1237 E Main St Ste C1
Carbondale, IL 62901-3148
Fax (618) 529-0573
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Other practice locations
- 10524 Fleming Rd, Carterville, IL 62918-3348 · (217) 690-9495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.385120 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209020583 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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- Derek Morris, NPNurse Practitioner Carbondale, IL NPI 1063323707
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- Dacia R. Gerst, FNPNurse Practitioner Carbondale, IL NPI 1104874338
About NPI 1114563368
Jamie Hultgren, FNP-BC's National Provider Identifier is 1114563368, issued on Nov 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 13, 2021.