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Jessica Pedersen
Student in an Organized Health Care Education/Training Program in Villa Grove, Illinois
NPI 1629793070

Jessica Pedersen is a Student in an Organized Health Care Education/Training Program based in Champaign, IL. Jessica Pedersen practices in Villa Grove, IL. The NPI Number for Jessica Pedersen is 1629793070 and holds a License No. (Illinois).

The current practice location address for Jessica Pedersen is 400 N Sycamore St, Villa Grove, IL and can be reached out via phone at 217-832-2261.

Location: 400 N Sycamore St, Villa Grove, IL, 61821-5973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629793070
Provider Name
Jessica Pedersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 N Sycamore St, Villa Grove, IL, 61821-5973
Phone Number
217-832-2261
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Sycamore St
City
Villa Grove
State
Illinois
Zip
61956-9771
Phone Number
217-832-2261
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Sycamore St
City
Villa Grove
State
Illinois
Zip
61956-9771
Phone Number
217-832-2261
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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