Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYCIE N LIEBENDORFER, APRN, CNP
ActiveJAYCIE N LIEBENDORFER, APRN, CNP is a Primary Care Nurse Practitioner healthcare provider located in BLOOMINGTON, Illinois. NPI 1124329206 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1124329206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2010 (15.782118292042 yrs)
- Last Updated
- Feb 25, 2025
- Licenses
-
209008461 (IL)209008461 (IL)209008461 (IL)
Practice Information
- Address
-
1701 E COLLEGE AVEBLOOMINGTON, IL, 617042100Browse IL providers · Browse ZIP 61704
- Phone
- 3096643130
- Fax
- 3096643258
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. SONAL MUKESH PATEL | NP-C | 1033652243 |
| KAITLYN N DUNCAN | APN | 1346912292 |
| KAITLYN NAFZIGER | APRN | 1063395341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.