Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER PROVOST
Active Sole ProprietorJENNIFER PROVOST is a Skilled Nursing Facility healthcare provider located in BARTLETT, Illinois. NPI 1316304520 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · BARTLETT, IL
Registration Details
- NPI Number
- 1316304520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2016 (10.539233184763 yrs)
- Last Updated
- Jan 19, 2016
- License
-
146004757 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 TERRACE DRBARTLETT, IL, 601034462Browse IL providers · Browse ZIP 60103
- Phone
- 6303371830
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.