| Cynthia Ann Jack, NP | |
|
2300 N Rockton Ave, Rockford, IL 61103-3619 | |
| (815) 971-2000 | |
| Not Available |
| Full Name | Cynthia Ann Jack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2300 N Rockton Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710222807 | NPI | - | NPPES |
| 209.009900 | Other | IL | STATE OF ILLINOIS LICENSE |
| 1710222807 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0106X | Nurse Practitioner - Occupational Health | 209009900 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209.009900 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Ann Jack, NP 2300 N Rockton Ave, Rockford, IL 61103-3619 Ph: (815) 971-2000 | Cynthia Ann Jack, NP 2300 N Rockton Ave, Rockford, IL 61103-3619 Ph: (815) 971-2000 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |