Active NPI
Jennifer G Flinn, FNP
- Nurse Practitioner
- Jacksonville, IL
National Provider Identifier
1932174133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209002124
- Practice address
- 1602 W Lafayette Ave
Jacksonville, IL 62650-1007 - Phone
- (217) 243-7200
- Fax
- (217) 243-6165
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209002124 | IL | Primary |
Addresses
Primary practice location
1602 W Lafayette Ave
Jacksonville, IL 62650-1007
Mailing address
1602 W Lafayette Ave
Jacksonville, IL 62650-1007
Phone (217) 243-7200
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1932174133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W LAFAYETTE AVE",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501007",
"telephone_number": "217-243-7200",
"fax_number": "217-243-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W LAFAYETTE AVE",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501007",
"telephone_number": "217-243-7200",
"fax_number": "217-243-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINN",
"first_name": "JENNIFER",
"middle_name": "G",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209002124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.