Individual provider · Type 1 NPI
Jenna Michele Mark
Acute Care Nurse Practitioner · Chicago, IL
NPI number
1821609462
Active
Practice location
5841 S Maryland Ave # MC3051
Chicago, IL 60637-1443
Mailing address
1472 W Summerdale Ave Apt 2RE
Chicago, IL 60640-2159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209020806 (IL) |
Acute Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1821609462
Jenna Michele Mark's National Provider Identifier is 1821609462, issued on Aug 16, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Aug 16, 2020.