JENNIFER LEA SHORT

GRANITE CITY, IL
NPI1487428066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.028657)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
Mrs. JENNIFER LEA SHORT APRN
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number: 618-877-4420
Mailing Address
Mrs. JENNIFER LEA SHORT APRN
6190 BENNETT DR APT 114
EDWARDSVILLE, IL 62025-4731
Phone number: 618-830-0993
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