Jessica Jackson, | |
120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | |
(217) 285-4436 | |
Not Available |
Full Name | Jessica Jackson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 120 N Williams Industrial Dr, Pittsfield, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215451679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 043.118043 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Jessica Jackson, 700 Se Cross St, Mt Sterling, IL 62353-1561 Ph: () - | Jessica Jackson, 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 Ph: (217) 285-4436 |
Kelli R Hull, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 South Madison Street, Mental Health Centers Of Western Illinois, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 |