Jennifer Lea Durst, APN
Nurse Practitioner, Family in Urbana, IL. Individual provider (NPI-1).
NPI number1902236623
StatusActive
Last updated in NPPESMar 17, 2015
Details
- NPI
- 1902236623
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lea Durst
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2013
- Last updated
- Mar 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209010645 | IL | Yes |
Practice location
611 W Park StUrbana, IL 61801-2500
Phone 217-383-3240 · Fax 217-383-4597
Mailing address
611 W Park StUrbana, IL 61801-2500
Phone 217-383-6941 · Fax 217-383-4597
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