Individual provider · NPI-1
Jennifer D. Anton, APN-CNP
Nurse Practitioner · Evanston, IL
NPI number1245947803
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1245947803
- Entity type
- Individual (NPI-1)
- Name
- Jennifer D. Anton
- Credential
- APN-CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2022
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209026908 | IL | Yes |
| 363L00000X | Nurse Practitioner | 041398604 | IL |
Practice location
2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Phone 847-570-1335 · Fax 847-570-1223
Mailing address
2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Phone 847-570-1335 · Fax 847-570-1223
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