Individual provider · Type 1 NPI
Jennifer L. Fasano, APN
Nurse Practitioner · Rockford, IL
Practice location
444 Roxbury Rd
Rockford, IL 61107-5059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209007750 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902127749
Jennifer L. Fasano, APN's National Provider Identifier is 1902127749, issued on Jun 16, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 16, 2010.