DR. JACOB WENGERT, DC, FNP
Nurse Practitioner
Active
Individual
NPI: 1689097768
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 209023063 (IL) |
| Nurse Practitioner - Family | 363LF0000X | No | 209023063 (IL) |
Frequently Asked Questions
NPI 1689097768 is the National Provider Identifier for DR. JACOB WENGERT, DC, FNP, a Nurse Practitioner provider located in Breese, IL. This NPI was enumerated on January 27, 2014.
DR. JACOB WENGERT, DC, FNP practices at 9515 HOLY CROSS LN STE 175, Breese, IL 62230.
Quick Facts
- NPI
- 1689097768
- Type
- Individual
- Enumerated
- Jan 27, 2014
- Last Updated
- Oct 3, 2023
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