Jacqueline Wudtke
Jacqueline Wudtke is a Nurse Practitioner in Peoria, Illinois. Qualified in 2025, 1 year ago. Licensed in Illinois.
- Years since qualifying
- 1
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
530 NE Glen Oak AvePeoria, IL 61637-0001
Phone: (309) 655-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 209033941 (IL) |
|---|
Record details
| NPI number | 1780535872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2026 |
| Last updated in NPPES | February 5, 2026 |
| Certification date | February 5, 2026 |
| Mailing address | 320 Miller Ave, Champaign, IL 61821-2444 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Peoria
-
Evan Walder
221 NE Glen Oak Ave, Peoria, IL 61636-0001 · (309) 672-5522
-
Genevieve Elizabeth Wessel, AGACNP, APN, CNP
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2000
-
Rebecca Wigant, APN
5405 N Knoxville Ave, Peoria, IL 61614-5016 · (309) 691-4410
-
Alyssa Williams Blake
3626 N Sheridan Rd, Peoria, IL 61604-1401 · (309) 308-5100