Jennifer Vissering

NPI #1770983181 in Morton, Illinois

Provider Information

NPI Number: 1770983181
Entity Type: Individual
Name: Jennifer Vissering
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 4, 2014
Last Updated: Nov 25, 2019

Practice Location

Address: 435 MAXINE DRIVE SUITE #4
City: Morton
State: Illinois
ZIP Code: 61550
Phone: (309) 263-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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