JACQUELINE DEFFENBAUGH

BLOOMINGTON, IL
NPI1174535306
Professional NameJACKIE DEFFENBAUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: IL  277000799)
Enumeration Date2006-08-13
Last Update Date2025-04-22
Business Address
JACQUELINE DEFFENBAUGH APN, WHNP
2304 STERN DR
BLOOMINGTON, IL 61704-4487
Phone number: 309-663-0411
Mailing Address
JACQUELINE DEFFENBAUGH APN, WHNP
2304 STERN DR
BLOOMINGTON, IL 61704-4487
Phone number: 309-663-0411