Provider Demographics
NPI:1942429055
Name:RIGGENBACH-HAYS, JAMI JO (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:JO
Last Name:RIGGENBACH-HAYS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1908 DANE KELSEY DR
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-6603
Mailing Address - Country:US
Mailing Address - Phone:309-655-4178
Mailing Address - Fax:309-624-3344
Practice Address - Street 1:OSF SAINT FRANCIS MEDICAL CTR
Practice Address - Street 2:530 NE GLEN OAK AVENUE
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-655-4178
Practice Address - Fax:309-624-3344
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily