| Jennifer Nicole Born, NP | |
|
210 W Mckinley Ave, Decatur, IL 62526-5858 | |
| (217) 876-6600 | |
| Not Available |
| Full Name | Jennifer Nicole Born |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 210 W Mckinley Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538636642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-018415 (Illinois) | Primary |
| Entity Name | Dolly Briscoe Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447555685 PECOS PAC ID: 1951769843 Enrollment ID: O20230626001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nicole Born, NP 205 W Forsyth Rd, Forsyth, IL 62535-4086 Ph: (217) 413-7196 | Jennifer Nicole Born, NP 210 W Mckinley Ave, Decatur, IL 62526-5858 Ph: (217) 876-6600 |
Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Angelique Bautista Gabat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126 | |
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 | |
Kristina Kay Bradford, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |