Jacob Daniel Wengert, DC, FNP

Nurse Practitioner · Breese, IL

Individual Active NPI

NPI number 1689097768

Practice location

9515 Holy Cross Ln Ste 175
Breese, IL 62230-3618
Phone
(618) 526-8430

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NPI record

NPI
1689097768
Entity type
Individual (Type 1)
Enumeration date
January 27, 2014
Last updated
October 3, 2023
Certified
October 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209023063 IL
Family Nurse Practitioner 363LF0000X 209023063 IL

Other practice locations (7)

  • 12860 Troxler Ave, Highland, IL 62249-2898 · (618) 641-5803
  • 17 Ginger Creek Mdws, Glen Carbon, IL 62034-3508 · (618) 656-9777
  • 108 W US Highway 40, Troy, IL 62294-1836 · (618) 667-1800
  • 159 E McArthur Dr, Bethalto, IL 62010-1918 · (618) 258-7504
  • 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034-1904 · (618) 391-5080
  • 5036 N Illinois St Ste 5, Fairview Heights, IL 62208-3417 · (618) 671-6800
  • 1103 Belt Line Rd, Collinsville, IL 62234-4368 · (618) 344-2273

About Dr. Wengert

Jacob Daniel Wengert, DC, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618. The NPI number 1689097768 was assigned on January 27, 2014 and the record was last updated on October 3, 2023.

Dr. Wengert lists 2 licenses in the registry: #209023063 (IL) for Nurse Practitioner; #209023063 (IL) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Daniel Wengert, DC, FNP?

The NPI number is 1689097768.

What is the phone number of Dr. Wengert?

The phone number listed for the practice location is (618) 526-8430.

Where is Dr. Wengert located?

9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618.

What is the taxonomy code for Dr. Wengert?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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