Jesse Henneberg, APN

Individual Active
NPI 1316299456
Neonatal Nurse Practitioner Peoria, IL

Jesse Henneberg, APN holds NPI 1316299456, with a primary taxonomy of neonatal nurse practitioner and a practice location in Peoria, IL. The number was issued on October 14, 2012 and the NPPES record was last updated on July 19, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X 209009916 (IL)
Critical Care Neonatal Nurse Practitioner 363LN0005X 209009916 (IL)

Practice locations

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 624-0629
415 N 9th St Ste 4W16
Springfield, IL 62702-5303
Phone: (217) 545-8000

Local context

Active NPPES records list 17 providers with neonatal nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 120 in Illinois and 4,825 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Jesse Lee Henneberg
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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