JENNIE REBECCA KRULL

ROCKFORD, IL
NPI1518322510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  277000398)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  277000398)
Enumeration Date2015-12-18
Last Update Date2024-07-11
Business Address
JENNIE REBECCA KRULL PMHNP-BC
555 S PERRYVILLE RD STE 130
ROCKFORD, IL 61108-2527
Phone number: 815-995-2201
Mailing Address
JENNIE REBECCA KRULL PMHNP-BC
1050 COUNTRY CLUB RD UNIT 386
WOODSTOCK, IL 60098-5585
Phone number: 815-501-5048