Individual provider · Type 1 NPI

Jennifer Boomer, APN

Family Nurse Practitioner · Rockford, IL

NPI number 1861901316 Active

Practice location

2400 N Rockton Ave
Rockford, IL 61103-3655

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209016612 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1861901316

Jennifer Boomer, APN's National Provider Identifier is 1861901316, issued on Sep 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Sep 28, 2017.