Jonathan Edwards

NPI #1164820312 in Mendota, Illinois

Provider Information

NPI Number
1164820312
Entity Type
Individual
Name
Jonathan Edwards
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 19, 2014
Last Updated
Dec 19, 2014

Practice Location

Address
1405 E 12TH ST
Address 2
SUITE 600
ZIP Code
61342-9010
Phone
(815) 538-7200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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