MS. JEANETTE MARIE EDIE CNS APRN CWOCN CFC NPI 1245210285

NPI Information

NPI: 1245210285
Provider Name: MS. JEANETTE MARIE EDIE, CNS APRN CWOCN CFC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Address:
5979 SOUTHDOWN LN
ROSCOE, IL
ZIP 61073
Phone: (815) 871-4747
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MS. Jeanette Marie Edie, CNS APRN CWOCN CFC is a clinical nurse specialist in Roscoe, IL. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. MS. Jeanette Marie Edie, CNS APRN CWOCN CFC NPI is 1245210285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5979 SOUTHDOWN LN
ROSCOE, IL
ZIP 61073-375
Phone: (815) 871-4747

The enumeration date for this NPI number is 1/17/2006 and was last updated on 4/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364S00000X	Clinical Nurse Specialist		209003232	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P44556	MEDICARE UPIN	ILLINOIS
2	L89222	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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