Jennifer Ali

NPI #1992039440 in Peoria, Illinois

Provider Information

NPI Number: 1992039440
Entity Type: Individual
Name: Jennifer Ali
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 30, 2009
Last Updated: Sep 30, 2009

Practice Location

Address: 2127 SW JEFFERSON AVE
City: Peoria
State: Illinois
ZIP Code: 61605-3645
Phone: (309) 674-4812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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