Jennifer Renee Stoller, DNP, PNP-PC | |
401 N Main St, Roanoke, IL 61561-7585 | |
(309) 923-2661 | |
Not Available |
Full Name | Jennifer Renee Stoller |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 401 N Main St, Roanoke, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154035913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 209.025987 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Renee Stoller, DNP, PNP-PC 364 Macallen Lake Rd, Carlock, IL 61725-9032 Ph: (309) 657-7918 | Jennifer Renee Stoller, DNP, PNP-PC 401 N Main St, Roanoke, IL 61561-7585 Ph: (309) 923-2661 |
Mrs. Rachel Nicole Anderson, APP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Michelle M Stephens, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 Fax: 309-923-7628 | |
Laura Lynn Keller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 121-772-2847 | |
Maddalena Davenport, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Hayley Elizabeth Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Petra Flores, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |