MRS. SHANNA JAY DIERKER, FNP-BC
Nursing at Broadway St, Columbus, IL

License number
Illinois 209-014331
Category
Nursing
Type
Family
License number
Illinois 041404031
Category
Nursing
Type
Registered Nurse
License number
Illinois 2015032867
Category
Nursing
Type
Registered Nurse
License number
Illinois A143402
Category
Nursing
Type
Family
Address
Address
927 Broadway St, Columbus, IL 62301
Phone
(217) 224-6423
(217) 221-1344 (Fax)
National Provider ID: 1558728337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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