JAYCIE N LIEBENDORFER

BLOOMINGTON, IL
NPI1124329206
Former NameJAYCIE N ROOP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209008461)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209008461)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209008461)
Enumeration Date2010-11-05
Last Update Date2025-02-25
Business Address
JAYCIE N LIEBENDORFER APRN, CNP
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2100
Phone number: 309-664-3130
Mailing Address
JAYCIE N LIEBENDORFER APRN, CNP
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number: 309-664-3130