Individual provider Active NPI

Jacquelyn Renee Warner, FNP-BC, IFMCP

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1710234489
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17024 Issued in TN
Practice address
134 N York St
Elmhurst, IL 60126-2806
Phone
(615) 477-7373
Fax
(312) 268-6550
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17024 TN Primary

Addresses

Primary practice location

134 N York St
Elmhurst, IL 60126-2806

Mailing address

134 N York St
Elmhurst, IL 60126-2806
Phone (615) 477-7373

Other names 1

  • Miss Jacquelyn Renee Faunce Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17024TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Associates, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1710234489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262806",
            "telephone_number": "615-477-7373",
            "fax_number": "312-268-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262806",
            "telephone_number": "615-477-7373",
            "fax_number": "312-268-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JACQUELYN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, IFMCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "FAUNCE",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "DNP, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.