Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLYN M FITZPATRICK, GNP-C
ActiveJACKLYN M FITZPATRICK, GNP-C is a Gerontological Nurse Practitioner healthcare provider located in BENTON, Illinois. NPI 1558756205 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BENTON, IL
Registration Details
- NPI Number
- 1558756205
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2015 (11.381619366555 yrs)
- Last Updated
- Jan 27, 2026
- Licenses
-
209012480 (IL)209.012480 (IL)209.012480 (IL)
Practice Information
- Address
-
206 E CHURCH ST STE BBENTON, IL, 628122239Browse IL providers · Browse ZIP 62812
- Phone
- 6184359888
- Fax
- 6184359889
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
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.