Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cynthia Ann Jack, NP

Individual provider Occupational Health Nurse Practitioner · NPI 1710222807

Cynthia Ann Jack, NP is an Occupational Health Nurse Practitioner in Rockford, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2300 N Rockton Ave
Rockford, IL 61103-3619
Phone: (815) 971-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Lake Ave, Woodstock, IL 60098-7401 — (815) 337-7100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.009900 (IL)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence 209009900 (IL)

Record details

NPI number1710222807
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 30, 2012
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020