Individual provider · Type 1 NPI
Jay Declarador
Nurse Practitioner · Chicago, IL
Practice location
332 S Michigan Ave
Chicago, IL 60604-4434
Mailing address
5450 Astor Ln Apt 418
Rolling Meadows, IL 60008-4116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209016591 (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 1417460502
Jay Declarador's National Provider Identifier is 1417460502, issued on Nov 10, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 10, 2017.