Provider Demographics
NPI:1780496646
Name:JAJESNIAK, JESSICA MARIA (APRN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIA
Last Name:JAJESNIAK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10231 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3025
Mailing Address - Country:US
Mailing Address - Phone:708-267-3642
Mailing Address - Fax:
Practice Address - Street 1:5851 W 95TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2415
Practice Address - Country:US
Practice Address - Phone:708-857-7230
Practice Address - Fax:708-425-5779
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209031491363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health