Doctor Name: | JENNIFER GIARRATANA |
NPI Number: | 1053363705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209-005868 |
Business Practice Address: | 1800 Hollister Dr Suite 112 Libertyville, IL - 600485263 |
Business Phone Number: | 8473676781 |
Business Fax Number: | |
Mailing Address: | 1800 Hollister Dr, Suite 112 LIBERTYVILLE |
State: | IL |
Postal Code: | 600485263 |
Phone Number: | 8473676781 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209-005868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |