SearchIllinois363L00000X

Fernanda Jacobs, DNP, APRN, AGACNP-BC

NPI 1730962580 · on the registry since 2023 · sole proprietor

Practice

Address
4309 W Medical Center Dr Ste B301
Mchenry, IL 60050
Phone
(847) 535-6083
Fax
(847) 234-4336
Organisation at this address
Kanu Panchal Mdsc
Mukaramullah Syed Llc
Centegra Health System
Illinois Pain Treatment Institute, Ltd
Anesthesia Associates Of Crystal Valley, S. C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Additional practice sites

  • 8201 E Riverside Blvd, Rockford, IL

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2100X
363LA2100X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-06

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