Search › Illinois › 222Q00000X
Jennifer Porter
NPI 1740646686 · on the registry since 2016
Practice
- Address
- 1108 W Willow St
Carbondale, IL 62901 - Phone
- (618) 549-4442
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-07
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