JENNIFER FAY HERBERT


Address: 4011 N Francisco Ave Unit 111, Chicago, IL 60618-2655
Phone: 3124372821

JENNIFER FAY HERBERT (NPI# 1144833047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144833047
Entity Type Individual
Full Name JENNIFER FAY HERBERT
Credential DNP, FNP-BC, APRN
Practice Address 4011 N Francisco Ave Unit 111
Chicago
IL 60618-2655
Practice Telephone 3124372821
Mailing Telephone 3124372821
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0200X Registered Nurse
Specialization: Pediatrics
041417005 IL Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209021192 IL Physician Assistants & Advanced Practice Nursing Providers

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1942698451 Jennifer Herbert Behavioral Analyst 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 2015-01-06
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1417077355 Jennifer Porter Herbert Family Medicine 925 Branch Ct Ste 101, Grovetown, GA 30813-3325 2007-03-31
1437224227 Jennifer Ann Herbert Dentist 109 S 7th St, Suite 133, Minneapolis, MN 55402-2310 2006-11-21

Office Location

Street Address 4011 N FRANCISCO AVE UNIT 111
City CHICAGO
State IL
Zip Code 60618-2655

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
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1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
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Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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