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

CYNTHIA ANN JACK, NP

Active

CYNTHIA ANN JACK, NP is a Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1710222807 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ROCKFORD, IL

Registration Details

NPI Number
1710222807
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2012 (13.71526839129 yrs)
Last Updated
Sep 18, 2020
Licenses
209009900 (IL)
209.009900 (IL)

Practice Information

Address
2300 N ROCKTON AVE
ROCKFORD, IL, 611033619
Browse IL providers · Browse ZIP 61103
Phone
8159712000
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in ROCKFORD, IL

Name Credential NPI
MS. KATHLEEN EDNA WILLIAMS APRN 1063418143
REBECCA ZIMMERMAN N.P. 1255330635
MRS. CHRISTINE KRAUSE A.P.N. 1801886890
LUCY MARTIN 1285606970
MRS. JACQUELINE G MAY NP 1699715706
MRS. MONICA L LYNCH APN 1295779171
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.