Agnes A. Fenner
NPI #1528518602 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1528518602
- Entity Type
- Individual
- Name
- Agnes A. Fenner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 12, 2016
- Last Updated
- Jun 18, 2020
Practice Location
- Address
- 15 FOUNDERS LN
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3919
- Phone
- (217) 528-7541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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