| NPI | 1124131966 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-16 |
| Last Updated | 2021-11-08 |
| Mailing Address | 3761 N State Route 1 17 Momence, IL 60954-2400 United States Phone: (815) 472-3923 | Fax: (815) 472-2816 📍 View Map |
| Primary Practice Address | 3761 N State Route 1 17 Momence, IL 60954-2400 United States Phone: (815) 472-3923 | Fax: (815) 472-2816 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | IL | 036110704 |
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About NPI 1124131966
Jennifer Melissa Powell MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124131966. The primary specialty listed is Family Medicine. The provider is located in Momence, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124131966?
NPI 1124131966 belongs to Jennifer Melissa Powell MD, a Family Medicine in Momence, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124131966 active?
The current status of NPI 1124131966 in the NPPES registry is Active. The record was last updated on 2021-11-08.
What specialty is NPI 1124131966?
NPI 1124131966 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124131966?
You can verify NPI 1124131966 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124131966?
The primary practice address on file for NPI 1124131966 is 3761 N State Route 1 17, Momence, IL 60954-2400. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124131966 issued?
NPI 1124131966 was first issued (enumerated) on 2006-08-16. The NPPES record was last updated on 2021-11-08.
Practice Location Map
Jennifer Melissa Powell is located at 3761 N State Route 1 17, Momence, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jennifer Melissa Powell. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124131966. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 036110704 | IL |