Provider Demographics
NPI:1184097800
Name:ZELTEN, JEANNE (NP)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:ZELTEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:245 PRAIRIE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BELOIT
Mailing Address - State:IL
Mailing Address - Zip Code:61080-2579
Mailing Address - Country:US
Mailing Address - Phone:815-389-9252
Mailing Address - Fax:815-389-9264
Practice Address - Street 1:245 PRAIRIE HILL RD
Practice Address - Street 2:
Practice Address - City:SOUTH BELOIT
Practice Address - State:IL
Practice Address - Zip Code:61080-2579
Practice Address - Country:US
Practice Address - Phone:815-389-9252
Practice Address - Fax:815-389-9264
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013418363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209013418OtherILLINOIS NURSE PRACTITIONER LICENSE