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Contact Information

AMY N HAEFELI, FNP-BC
1000 W MORTON AVE
JACKSONVILLE, IL62650
 Phone: 217-528-7541
 Fax: 217-243-9030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY N HAEFELI · (Female)

NPI # 1437603719
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/04/2016
Last updated 05/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209014661
  • IL Other 209014661 LICENSE
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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