| Doctor Name: | MS. JENNIFER CASEY |
| NPI Number: | 1982029856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209010944 |
| Business Practice Address: | 1120 N Melvin St Gibson City, IL - 609361477 |
| Business Phone Number: | 2177845221 |
| Business Fax Number: | |
| Mailing Address: | 1120 N Melvin St, GIBSON CITY |
| State: | IL |
| Postal Code: | 609361477 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2014 |
| NPI Last Update Date: | 02/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC0200X |
| License Number: | 209010944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |