MS. BEAUTY YIBO BERNARD-JUMBO FPA-APRN NPI 1649596982

NPI Information

NPI: 1649596982
Provider Name: MS. BEAUTY YIBO BERNARD-JUMBO, FPA-APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
400 RIVER OAKS DR
CALUMET CITY, IL
ZIP 60409
Phone: (224) 545-2902
Get Directions

MS. Beauty Yibo Bernard-jumbo, FPA-APRN is a family nurse practitioner in Calumet City, IL. MS. Beauty Yibo Bernard-jumbo, FPA-APRN NPI is 1649596982. 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:

400 RIVER OAKS DR
CALUMET CITY, IL
ZIP 60409-832
Phone: (224) 545-2902

The NPI 1649596982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 11/9/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QU0200X	Clinic/Center	Urgent Care			No
3	363L00000X	Nurse Practitioner		277.002361	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	209007994	ILLINOIS	No
5	363LF0000X	Nurse Practitioner	Family	71004747A	INDIANA	No
6	363LF0000X	Nurse Practitioner	Family	277.002361	ILLINOIS	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »