Provider Demographics
NPI:1285898643
Name:MERCIER, JENNIFER DEANNE (ND)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DEANNE
Last Name:MERCIER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 CARR ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-6146
Mailing Address - Country:US
Mailing Address - Phone:630-639-1592
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTH MCLEAN BVLD
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:KANE COUNTY
Practice Address - Zip Code:60177
Practice Address - Country:UM
Practice Address - Phone:630-639-1592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNAT000198175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath