Individual provider · Type 1 NPI

Jaclyn K. Taverna, FNP-BC, MSN

Nurse Practitioner · Yorkville, IL

NPI number 1164675179 Active

Practice location

520 E Kendall Dr Unit C
Yorkville, IL 60560-1956

Fax (630) 385-2934

Mailing address

50 S B B King Blvd
Memphis, TN 38103-2626

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X277.001828 (IL)
Family Nurse Practitioner 363LF0000X209.007311 (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 1164675179

Jaclyn K. Taverna, FNP-BC, MSN's National Provider Identifier is 1164675179, issued on Nov 4, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Yorkville, IL. The record was last updated on Apr 26, 2022.