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Jessica R Miskell, INDEPENDENTAPN
Family Nurse Practitioner in Ottawa, Illinois
NPI 1710256631

Jessica R Miskell is a Family Nurse Practitioner based in Ottawa, IL and is specialized in Family. Jessica R Miskell practices in Ottawa, IL and has the professional credentials of INDEPENDENTAPN. The NPI Number for Jessica R Miskell is 1710256631 and holds a License No. 209009286 (Illinois).

The current practice location address for Jessica R Miskell is 218 W Madison St, Ottawa, IL and can be reached out via phone at 815-431-1122 and via fax at 877-503-2851.

Location: 218 W Madison St, Ottawa, IL, 61350-2819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710256631
Provider Name
Jessica R Miskell
Credential
INDEPENDENTAPN
Provider Entity Type
Individual
Gender
Female
Address
218 W Madison St, Ottawa, IL, 61350-2819
Phone Number
815-431-1122
Fax Number
877-503-2851
Provider Enumeration Date
12/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277000895 01 IL FULL PRACTICE AUTHORITY APN
1710256631 01 IL NPI
2011016696 01 IL BOARD CERTIFIED BY ANCC
14D2107071 01 IL CLIA EXP 1/5/22
1750756979 01 IL GROUP NPI
041326705 01 IL REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
218 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2819
Phone Number
815-431-1122
Fax Number
877-503-2851
person
Provider Business Mailing Address Details
Address
218 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2819
Phone Number
815-431-1122
Fax Number
877-503-2851
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
209009286 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
277000895 (Illinois)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
209009286 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
277000895 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209009286 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
209009286 (Illinois)
Definition
Definition to come...
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