Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN JOYCE ROGNSTAD, BSN, RN
Active Sole ProprietorRegistered Nurse · FOX LAKE, IL
Registration Details
- NPI Number
- 1770018780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2017 (8.9841021030347 yrs)
- Last Updated
- Nov 29, 2017
- License
-
041.395865 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 E GRAND AVEFOX LAKE, IL, 600201557Browse IL providers · Browse ZIP 60020
- Phone
- 2249083005
- Fax
- 8158148989
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Methadone Clinic
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
- Additional Specialty
- Registered Nurse
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.