Jennifer R Sunderland in Springfield - Medical
Jennifer R Sunderland - NPI 1659475655
Jennifer R Sunderland is a Medical in Springfield, Illinois. Jennifer R Sunderland practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer R Sunderland is 1659475655. The last update date is 2023-02-06.
Jennifer R Sunderland's current location address is Po Box 19248, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Jennifer R Sunderland is Po Box 19248, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer R Sunderland |
|---|---|
| Address | Po Box 19248, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1659475655 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2023-02-06 |
Provider Mailing Address Detail
| Address | Po Box 19248 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949248 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85003210 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202735 | IL | MEDICARE PTAN LOCALITY 15 | |
| 215827 | IL | MEDICARE PTAN LOCALITY 99 | |
| 604530 | IL | MEDICARE PTAN LOCALITY 16 |
Post Comment/ Review Below
What is the Jennifer R Sunderland's unique identification number?
The Jennifer R Sunderland has been assigned the NPI (National Provider Identifier) Number 1659475655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jennifer R Sunderland's facilities are situated?
The facilities of Jennifer R Sunderland are physically located at the following address: Po Box 19248, Springfield, IL, 627949248.
What is Jennifer R Sunderland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer R Sunderland is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Jennifer R Sunderland receive its 1659475655 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer R Sunderland was assigned its 1659475655 by the Centers for Medicare & Medicaid Services on 2006-09-11.
As of what date were the details related to Jennifer R Sunderland most recently updated or revised?
The information pertaining to Jennifer R Sunderland, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-06.