Jennifer Sue Derosia, LPN

NPI #1689966350 in Carterville, Illinois

Provider Information

NPI Number: 1689966350
Entity Type: Individual
Name: Jennifer Sue Derosia, LPN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPN
Enumeration Date: May 12, 2011
Last Updated: Jun 7, 2023

Practice Location

Address: 403 MUNICIPAL DR
City: Carterville
State: Illinois
ZIP Code: 62918-2042
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Counselor	101Y00000X	Primary

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