Provider Demographics
NPI:1659558138
Name:COCONATE, JESSICA M (APN, FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:COCONATE
Suffix:
Gender:F
Credentials:APN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:DOCTORS BUILDING ONE, SUITE #210
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1019
Mailing Address - Country:US
Mailing Address - Phone:847-781-1894
Mailing Address - Fax:847-781-1895
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:DOCTORS BUILDING ONE, SUITE #210
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1019
Practice Address - Country:US
Practice Address - Phone:847-781-1894
Practice Address - Fax:847-781-1895
Is Sole Proprietor?:No
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily