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NPI Profile for CYNTHIA A JACK in ROCKFORD, IL.
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Occupational Health |
363LX0106X | 50 | Nurse Practitioner |
| NPI Number | 1710222807 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/30/2012 | |
| Last updated | 09/18/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CYNTHIA A JACK
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CYNTHIA A JACK, NP