Individual provider · Type 1 NPI
Jennifer M. Eide, N.P.
Adult Health Nurse Practitioner · Sterling, IL
NPI number
1528345642
Active
Practice location
101 E Miller Rd
Sterling, IL 61081
Mailing address
444 Roxbury Rd
Rockford, IL 61107-5059
Other practice locations
- 444 Roxbury Rd, Rockford, IL 61107-5059 · (815) 398-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209.009203 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1528345642
Jennifer M. Eide, N.P.'s National Provider Identifier is 1528345642, issued on Nov 3, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Sterling, IL. The record was last updated on Mar 29, 2019.