Individual provider · Type 1 NPI
Jennifer Marie Ilacqua, MSN, ACNP-BC
Acute Care Nurse Practitioner · Ann Arbor, MI
NPI number
1245586726
Active
Practice location
1500 E Medical Center Dr, Floor 3 Cardiovascular Center
Ann Arbor, MI 48109-5000
Fax (734) 232-4505
Mailing address
3621 S State St, 700 Kms Place
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704242794 (MI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704242794 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245586726
Jennifer Marie Ilacqua, MSN, ACNP-BC's National Provider Identifier is 1245586726, issued on Aug 2, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ann Arbor, MI. The record was last updated on May 9, 2013.