Individual provider · Type 1 NPI

Jennifer Lee Kolettis, NP-C

Family Nurse Practitioner · Peoria, IL

NPI number 1790256303 Active

Practice location

320 E Armstrong Ave
Peoria, IL 61603-3172

Fax (309) 495-8614

Mailing address

2214 N University St
Peoria, IL 61604-3221

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X041-427636 (IL)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

Other family nurse practitioner providers in Peoria

See all in Peoria →

About NPI 1790256303

Jennifer Lee Kolettis, NP-C's National Provider Identifier is 1790256303, issued on Dec 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Dec 7, 2018.