Individual provider · Type 1 NPI

Jucy Tiesenga, NP

Nurse Practitioner · Winfield, IL

NPI number 1124395199 Active

Practice location

25 N Winfield Rd Ste 420
Winfield, IL 60190-1222

Call (630) 682-8700 Map

Fax (630) 352-5582

Mailing address

1880 W Winchester Rd Ste 201
Libertyville, IL 60048-5336

Other practice locations

9669 Kenton Ave, Suite 204, Skokie, IL 60076-1266 · (847) 657-1900
1880 W Winchester Rd Ste 201, Libertyville, IL 60048-5336 · (847) 247-0187

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	209009046 (IL)
Nurse Practitioner Primary	363L00000X	209009046 (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…

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About NPI 1124395199

Jucy Tiesenga, NP's National Provider Identifier is 1124395199, issued on Nov 18, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winfield, IL. The record was last updated on Dec 13, 2021.