JESSICA KANDIS GUTIERREZ FNP-BC
NPI 1245876846
Nurse Practitioner - Family in Joliet, IL
Active since November 19, 2019
1106 N LARKIN AVE LOWR LEVEL, JOLIET, IL 60435(815) 685-4665(630) 566-3322 Get Directions Write a Review
About Jessica Kandis Gutierrez Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA KANDIS GUTIERREZ FNP-BC (NPI 1245876846) is an individual family provider in Joliet, Illinois, licensed in Illinois (209020490) and active in the NPI registry since November 2019.
NPPES Registry Identity
NPI1245876846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA KANDIS GUTIERREZCredential: FNP-BC
Location Address1106 N LARKIN AVE LOWR LEVELJoliet, IL 60435-3455
Mailing Address1106 N Larkin Ave Lowr LevelJoliet, IL 60435-3455 · (815) 685-4665 · Fax (630) 566-3322
Phone(815) 685-4665
Fax(630) 566-3322
Sole ProprietorNo
Enumeration DateNovember 19, 2019
Last NPPES UpdateApril 10, 20244 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1245876846 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 · 209020490
1106 N LARKIN AVE LOWR LEVEL, Joliet, IL 60435
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Medical Specialty)
1106 N LARKIN AVE LOWR LEVEL
JOLIET, IL 60435
JOLIET, IL 60435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245876846, enumerated as an "individual" on November 19, 2019.
The provider is located at 1106 N LARKIN AVE LOWR LEVEL JOLIET, IL 60435 and the phone number is (815) 685-4665.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
