Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE LEE HENNEBERG, APN
Active Sole ProprietorMR. 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 AVEPEORIA, IL, 616370001Browse 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.