JELENA FISHMAN FNP
NPI 1194156307
Nurse Practitioner - Family in Big Rock, IL
Active since December 13, 2013
About Jelena Fishman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JELENA FISHMAN FNP (NPI 1194156307) is an individual family provider in Big Rock, Illinois, licensed in Illinois (041361670) and active in the NPI registry since December 2013.
NPPES Registry Identity
NPI1194156307
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJELENA FISHMANCredential: FNP
Location Address49W161 HINCKLEY RDBig Rock, IL 60511-9314
Mailing Address49w161 Hinckley RdBig Rock, IL 60511-9314
Phone(773) 330-6535
Sole ProprietorNo
Enumeration DateDecember 13, 2013
✔ NPI 1194156307 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 041361670
49W161 HINCKLEY RD, Big Rock, IL 60511
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194156307, enumerated as an "individual" on December 13, 2013.
The provider is located at 49W161 HINCKLEY RD BIG ROCK, IL 60511 and the phone number is (773) 330-6535.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
