Individual provider · Type 1 NPI
Jaycie N. Liebendorfer, APRN, CNP
Psychiatric/Mental Health Nurse Practitioner · Clinton, IL
NPI number
1124329206
Active
Practice location
207 W Van Buren St
Clinton, IL 61727-2235
Other practice locations
- 211 Landmark Dr Ste A3, Normal, IL 61761-6165 · (309) 323-0206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209008461 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277.005669 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209008461 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209008461 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Clinton
About NPI 1124329206
Jaycie N. Liebendorfer, APRN, CNP's National Provider Identifier is 1124329206, issued on Nov 5, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, IL. The record was last updated on Oct 30, 2026.