Jessica R Therien, APRN, FNP-C | |
4600 Memorial Dr Ste 360, Belleville, IL 62226-5366 | |
(618) 222-7280 | |
Not Available |
Full Name | Jessica R Therien |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4600 Memorial Dr Ste 360, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164122974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209026898 (Illinois) | Primary |
Entity Name | Fairview Heights Medical Group Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
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Jessica R Therien, APRN, FNP-C 4600 Memorial Dr Ste 360, Belleville, IL 62226-5366 Ph: (618) 222-7280 | Jessica R Therien, APRN, FNP-C 4600 Memorial Dr Ste 360, Belleville, IL 62226-5366 Ph: (618) 222-7280 |
Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887 | |
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490 | |
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936 | |
Pamela A O'neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679 | |
Katherine Ann Combs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226 Phone: 618-212-6560 |