Individual provider · Type 1 NPI

Agnes A. Fenner

Family Nurse Practitioner · Jacksonville, IL

NPI number 1528518602 Active

Practice location

15 Founders Ln
Jacksonville, IL 62650-3919

Fax (217) 527-3844

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014954 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1528518602

Agnes A. Fenner's National Provider Identifier is 1528518602, issued on Oct 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, IL. The record was last updated on Jun 18, 2020.