Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SUE DEROSIA, LPN
ActiveJENNIFER SUE DEROSIA, LPN is a Counselor healthcare provider located in CARTERVILLE, Illinois. NPI 1689966350 is currently active in the NPPES registry. Verify at CMS.
Counselor · CARTERVILLE, IL
Registration Details
- NPI Number
- 1689966350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2011 (15.223686161979 yrs)
- Last Updated
- Jun 7, 2023
- License
-
043077866 (IL)
Practice Information
- Address
-
403 MUNICIPAL DRCARTERVILLE, IL, 629182042Browse IL providers · Browse ZIP 62918
- Phone
- 8556083560
- Fax
- 6189569349
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Other Counselor Providers in CARTERVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| BRENT SIMPSON | — | 1437494002 |
| FAITH BASOLO | COTA/L | 1760835151 |
| TENIELLE WORTHINGTON | — | 1528567872 |
| TAYLOR YOUNT | — | 1659904050 |
| SARA TROVER | — | 1699309310 |
| SAVANAH KING | — | 1790311538 |
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.