Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTA FAHRNER
Active Sole ProprietorJEANETTA FAHRNER is a Case Management Agency healthcare provider located in PEORIA, Illinois. NPI 1760849202 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · PEORIA, IL
Registration Details
- NPI Number
- 1760849202
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2016 (10.554823197959 yrs)
- Last Updated
- Dec 7, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
5907 N ASPEN WOOD DR APT 5602PEORIA, IL, 616158433Browse IL providers · Browse ZIP 61615
- Phone
- 8473455561
- Primary Specialty
-
Case Management Agency
251B00000X
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.