IndividualActive
Jennifer Dole, APRN, CCNS-BC
NPI 1376892398 · Critical Care Medicine Clinical Nurse Specialist · Kankakee, IL
Provider details
- NPI number
- 1376892398
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209.009944 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
500 N Wall St Ste C100
Kankakee, IL 60901-2942
Phone: (815) 933-4400
Fax: (815) 933-9646
Approximate (ZIP-level) locationGet directions
Mailing address
500 N Wall St Ste C100
Kankakee, IL 60901-2942
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.