JENNIFER S PEMBLE NNP-BC NPI 1811248651

NPI Information

NPI: 1811248651
Provider Name: JENNIFER S PEMBLE, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
611 W PARK ST
URBANA, IL
ZIP 61801
Phone: (217) 383-3266
Get Directions

Jennifer S Pemble, NNP-BC is a neonatal nurse practitioner in Urbana, IL. Jennifer S Pemble, NNP-BC NPI is 1811248651. 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:

611 W PARK ST
URBANA, IL
ZIP 61801-529
Phone: (217) 383-3266
Fax: (217) 383-3463

The NPI 1811248651 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 9/19/2012 and was last updated on 5/19/2022.

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	363LN0000X	Nurse Practitioner	Neonatal	2020010760	MISSOURI	No
2	363LN0000X	Nurse Practitioner	Neonatal	209009760	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

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