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JAY DIETRICH, APN, NP-C
APN, NP-C
Nurse Practitioner
NPI: 1225629447IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209021931(IL)
Registered Nurse
Registered Nurse
Code: 163W00000X
041446858(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 2200 E WASHINGTON ST
BLOOMINGTON, IL 61701 - Phone
- (309) 662-3311
Quick Facts
- NPI
- 1225629447
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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