Jessica A Fanucchi, APN Valid NPI

Individual provider · Pediatric Nurse Practitioner · Skokie, IL

NPI

1255705794

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

209013322 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2015-11-20

Last updated

2021-04-27