| NPI | 1558756205 |
|---|---|
| Former Name | JACKLYN M HEDGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012480) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.012480) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-04-28 |