Jacqueline Long

NPI 1578837670 · on the registry since 2012

Practice

Address: 311 West Fairchild Street
Danville, IL 61837
Phone: (217) 431-7700
Fax: (217) 431-7850
Organisation at this address: Carle Foundation Hospital
Carle Clinic Association, Pc
Carle Health Care Incorporated
Carle Health Care Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 47

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois