Organization · Type 2 NPI

Jet Healthcare LLC

Nurse Practitioner · Rockford, IL

NPI number 1265052401 Active

Practice location

5979 Nebeshone Ln
Rockford, IL 61103-8926

Call (815) 977-4580 Map

Mailing address

5979 Nebeshone Lane
Rockford, IL 61103-8926

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1265052401

Jet Healthcare LLC's National Provider Identifier is 1265052401, issued on Apr 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 24, 2025.