Provider Demographics
NPI:1144833047
Name:HERBERT, JENNIFER FAY (DNP, FNP-BC, APRN)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:FAY
Last Name:HERBERT
Suffix:
Gender:F
Credentials:DNP, FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 N RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1099
Mailing Address - Country:US
Mailing Address - Phone:773-273-3598
Mailing Address - Fax:773-273-3598
Practice Address - Street 1:6300 N RIDGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1099
Practice Address - Country:US
Practice Address - Phone:773-273-3598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021192363LF0000X
IL041417005163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics