Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN MARY PETROV, APN
ActiveJACLYN MARY PETROV, APN is a Obstetrics & Gynecology Nurse Practitioner healthcare provider located in MOKENA, Illinois. NPI 1295399178 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology Nurse Practitioner · MOKENA, IL
Registration Details
- NPI Number
- 1295399178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2019 (7.3466879122906 yrs)
- Last Updated
- Sep 28, 2022
- License
-
209.019158 (IN)
Practice Information
- Address
-
10260 191ST ST STE 100MOKENA, IL, 604488802Browse IL providers · Browse ZIP 60448
- Phone
- 7085727669
- Fax
- 7084224253
- Primary Specialty
-
Obstetrics & Gynecology Nurse Practitioner
363LX0001X
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.