| Jennifer Renee Stoller, DNP, PNP-PC | |
|
401 N Main St, Roanoke, IL 61561-7585 | |
| (309) 923-2661 | |
| Not Available |
| Full Name | Jennifer Renee Stoller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 401 N Main St, Roanoke, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154035913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 209.025987 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Renee Stoller, DNP, PNP-PC 364 Macallen Lake Rd, Carlock, IL 61725-9032 Ph: (309) 657-7918 | Jennifer Renee Stoller, DNP, PNP-PC 401 N Main St, Roanoke, IL 61561-7585 Ph: (309) 923-2661 |
Mrs. Rachel Nicole Anderson, APP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Michelle M Stephens, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 Fax: 309-923-7628 | |
Sarah Jane Ulrich, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Maddalena Davenport, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Hayley Elizabeth Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Petra Flores, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |