Individual provider · Type 1 NPI

Jennifer L. Gonzalez, APN

Adult Health Nurse Practitioner · Peoria, IL

NPI number 1982933974 Active

Practice location

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Fax (309) 655-2057

Mailing address

1001 Main St Ste 400
Peoria, IL 61606-2036

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041309807 (IL)
Nurse Practitioner 363L00000X209-008074 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209-003998 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1982933974

Jennifer L. Gonzalez, APN's National Provider Identifier is 1982933974, issued on Dec 22, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Peoria, IL. The record was last updated on Jul 21, 2022.