Ms Jessica Lynn Chapman, | |
1535 W Mccord St, Centralia, IL 62801-5805 | |
(618) 532-1811 | |
Not Available |
Full Name | Ms Jessica Lynn Chapman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1535 W Mccord St, Centralia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316454085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209016857 (Illinois) | Primary |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Mailing Address | Practice Location Address |
---|---|
Ms Jessica Lynn Chapman, 445 Randolph Dr, Centralia, IL 62801-6002 Ph: (618) 204-2166 | Ms Jessica Lynn Chapman, 1535 W Mccord St, Centralia, IL 62801-5805 Ph: (618) 532-1811 |
Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811 | |
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 | |
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042 | |
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300 | |
Janet Rose Merrell, MSN, APN, CNS, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |