Jamble, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209007868 Issued in IL

Legal business name

JAMBLE, LLC

Practice address

131 Clover Dr
Sugar Grove, IL 60554-9228

Phone

(812) 453-2308

NPI assigned

Nov 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pollyanna C. Vujovic, M.S.N., FNPNPI 1437137221

Title

Owner

Phone

(812) 453-2308

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pollyanna Cimbaljevich Vujovic, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Grove, IL
  • NPI 1437137221
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1295278448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CLOVER DR",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549228",
            "telephone_number": "812-453-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CLOVER DR",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549228",
            "telephone_number": "812-453-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMBLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "VUJOVIC",
        "authorized_official_first_name": "POLLYANNA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-453-2308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.N., FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209007868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Winkelbauer Hesselbaum, LCSW
• Kimberly L Hicks, PT, DPT
• Home for Life Advantage, Inc.
• Deanna L. Hoole, APN-CNP
• Dawn Hyatt, PHARMD
• Karla Rae Jebens-Mills, DVM
• Brittany Ann Johnsen, RD
• Susan Jean Johnson, PT
• Melissa Ann Joseph, LCSW
• Joshua L. Korsgarden, O.D., LTD.

• Adult Health Nurse Practitioner in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.