JACQUELINE SUZANNE COLE

URBANA, IL
NPI1083818835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209007474)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71002409A)
Enumeration Date2007-06-14
Last Update Date2024-04-01
Business Address
JACQUELINE SUZANNE COLE FNP
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-383-2410
Mailing Address
JACQUELINE SUZANNE COLE FNP
611 W PARK ST FAPC
URBANA, IL 61801-2500
Phone number: 217-902-5292