Individual provider · Type 1 NPI
Jacqueline Therese Wirth, DNP, APRN, CPNP-PC
Pediatric Nurse Practitioner · Sycamore, IL
NPI number
1487312427
Active
Practice location
1680 Mediterranean Dr Ste 107
Sycamore, IL 60178-3193
Mailing address
19304 Midland Ave
Mokena, IL 60448-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209024208 (IL) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Sycamore
About NPI 1487312427
Jacqueline Therese Wirth, DNP, APRN, CPNP-PC's National Provider Identifier is 1487312427, issued on Dec 7, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sycamore, IL. The record was last updated on Dec 7, 2021.