JENNIFER LEE KOLETTIS

PEORIA, IL
NPI1790256303
Former NameJENNIFER BERNSTEIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  041-427636)
Enumeration Date2018-12-07
Last Update Date2018-12-07
Business Address
JENNIFER LEE KOLETTIS NP-C
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-680-7600
Mailing Address
JENNIFER LEE KOLETTIS NP-C
2214 N UNIVERSITY ST
PEORIA, IL 61604-3221
Phone number: 309-680-7669
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