Individual provider · Type 1 NPI
Jaclyn Mary Petrov, APN
Obstetrics & Gynecology Nurse Practitioner · Mokena, IL
NPI number
1295399178
Active
Practice location
10260 191st St Ste 100
Mokena, IL 60448-8802
Fax (708) 422-4253
Other practice locations
- 9730 S Western Ave, Evergreen Park, IL 60805-2814 · (708) 425-1907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209.019158 (IN) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
5 other providers at this address
- A Lota Healthcare LtdObstetrics & Gynecology Physician Mokena, IL NPI 1437755147
- Ann Scoigletti, APN, FNP-BCNurse Practitioner Mokena, IL NPI 1245445394
- Rehana Renaud, ANPFamily Nurse Practitioner Mokena, IL NPI 1902575343
- Roxanne SchueringAdvanced Practice Midwife Mokena, IL NPI 1700753332
- Tina M. Opsenica, APRNFamily Nurse Practitioner Mokena, IL NPI 1740039890
About NPI 1295399178
Jaclyn Mary Petrov, APN's National Provider Identifier is 1295399178, issued on Apr 26, 2019. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Mokena, IL. The record was last updated on Sep 28, 2022.