| Jennifer Christine Alexander, APN, PMHNP | |
|
2511 N Main St, East Peoria, IL 61611-1783 | |
| (309) 670-0459 | |
| (309) 670-0416 |
| Full Name | Jennifer Christine Alexander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2511 N Main St, East Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992233977 | NPI | - | NPPES |
| 377002279 | Other | FULL PRACTICE AUTHORITY CS LICENSE | |
| 277002366 | Other | FULL PRACTICE AUTHORITY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002366 (Illinois) | Primary |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Entity Name | Lisa Schwab, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194193235 PECOS PAC ID: 1850688557 Enrollment ID: O20160923000737 |
| Entity Name | Inner Wellness Of Central Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871164442 PECOS PAC ID: 7911387592 Enrollment ID: O20220629003113 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Christine Alexander, APN, PMHNP 2511 N Main St, East Peoria, IL 61611-1783 Ph: (309) 670-0459 | Jennifer Christine Alexander, APN, PMHNP 2511 N Main St, East Peoria, IL 61611-1783 Ph: (309) 670-0459 |
Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 | |
Amy J Stone, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Courtney Elizabeth Reubin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Kaylee Elizabeth Polen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-265-7287 | |
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 |