Provider Demographics
NPI:1720394208
Name:HEMMELGARN, JENNIFER MARIE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MARIE
Last Name:HEMMELGARN
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:1220 HOBSON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8139
Mailing Address - Country:US
Mailing Address - Phone:630-646-7880
Mailing Address - Fax:614-552-0192
Practice Address - Street 1:1220 HOBSON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8139
Practice Address - Country:US
Practice Address - Phone:630-646-7880
Practice Address - Fax:630-646-5610
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2014-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.11742-NP363LF0000X
IL209.011496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily