Individual provider · Type 1 NPI

Jennifer R. Komada, NP-C

Family Nurse Practitioner · Blue Island, IL

NPI number 1245754787 Active

Practice location

12200 Western Ave
Blue Island, IL 60406-1398

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.016056 (IL)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1245754787

Jennifer R. Komada, NP-C's National Provider Identifier is 1245754787, issued on Jul 26, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blue Island, IL. The record was last updated on Dec 20, 2017.