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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JESSE LEE HENNEBERG, APN

Active Sole Proprietor

MR. JESSE LEE HENNEBERG, APN is a Neonatal Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1316299456 is currently active in the NPPES registry. Verify at CMS.

Neonatal Nurse Practitioner · PEORIA, IL

Registration Details

NPI Number
1316299456
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2012 (13.64548280712 yrs)
Last Updated
Jul 19, 2021
Licenses
209009916 (IL)
209009916 (IL)
Sole Proprietor
Yes

Practice Information

Address
530 NE GLEN OAK AVE
PEORIA, IL, 616370001
Browse IL providers · Browse ZIP 61637
Phone
3096240629
Primary Specialty
Neonatal Nurse Practitioner
363LN0000X
Additional Specialty
Neonatal Nurse Practitioner

Other Neonatal Nurse Practitioner Providers in PEORIA, IL

Name Credential NPI
ALESIA EATON NNP 1477587426
AMANDA L LAVALLEE APRN, CNP 1720148091
JEANNE M PERINO BSN 1497911713
SUZANNE D TIETJEN BSN, NNP 1013173335
MS. SHARON A KLEIN NNP, MS 1710143037
JULIE MARIE STRANDBERG 1417113739
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.