person
Jessica Nussbaum, PA-C
Medical Physician Assistant in Maryville, Illinois
NPI 1184306524

Jessica Nussbaum is a Medical Physician Assistant based in Edwardsville, IL and is specialized in Medical. Jessica Nussbaum practices in Maryville, IL and has the professional credentials of PA-C. The NPI Number for Jessica Nussbaum is 1184306524 and holds a License No. 085.009880 (Illinois).

The current practice location address for Jessica Nussbaum is 6812 State Route 162 Ste 120, Maryville, IL and can be reached out via phone at 618-288-0044. You can also correspond with Jessica Nussbaum through the mailing address at 8333 GOSHEN RD, EDWARDSVILLE, IL - 62025-6908 (mailing address contact number: 309-310-7824).

Location: 6812 State Route 162 Ste 120, Maryville, IL, 62025-6908
person
Provider Profile Details
NPI Number
1184306524
Provider Name
Jessica Nussbaum
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6812 State Route 162 Ste 120, Maryville, IL, 62025-6908
Phone Number
618-288-0044
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6812 State Route 162 Ste 120
City
State
Zip
62062-8586
Phone Number
618-288-0044
Fax Number
person
Provider Business Mailing Address Details
Address
6812 State Route 162 Ste 120
City
State
Zip
62062-8586
Phone Number
618-288-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.009880 (Illinois)
Definition
Definition to come...
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