Jessica Purvis, is a
Student In An Organized Health Care Education/training Program based in Lockport, Illinois. Jessica Purvis is licensed to practice in * (Not Available) (license number ) and her current practice location is
16342 W Lanfear Dr, Lockport, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 585-5984.
NPI number for Jessica Purvis is 1982322509 and her current mailing address is 16342 W Lanfear Dr, Lockport, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982322509.
Healthcare Provider's Profile
| Full Name | Jessica Purvis |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 16342 W Lanfear Dr, Lockport, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982322509
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 08/19/2022
Medical Identifiers
Medical identifiers for Jessica Purvis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982322509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Purvis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Purvis,
16342 W Lanfear Dr,
Lockport, IL 60441-4747
Ph: () - | Jessica Purvis,
16342 W Lanfear Dr,
Lockport, IL 60441-4747
Ph: (815) 585-5984 |
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