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Jean Sandercock
Family Nurse Practitioner in Mattoon, Illinois
NPI 1861943011

Jean Sandercock is a Family Nurse Practitioner based in Mattoon, IL and is specialized in Family. Jean Sandercock practices in Mattoon, IL. The NPI Number for Jean Sandercock is 1861943011 and holds a License No. 209-015007 (Illinois).

The current practice location address for Jean Sandercock is 1000 Health Center Dr, Mattoon, IL and can be reached out via phone at 217-258-4997 and via fax at 217-258-2274.

Location: 1000 Health Center Dr, Mattoon, IL, 61938-4693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861943011
Provider Name
Jean Sandercock
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Health Center Dr, Mattoon, IL, 61938-4693
Phone Number
217-258-4997
Fax Number
217-258-2274
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Health Center Dr
City
Mattoon
State
Illinois
Zip
61938-9261
Phone Number
217-258-4997
Fax Number
217-258-2274
person
Provider Business Mailing Address Details
Address
1000 Health Center Dr
City
Mattoon
State
Illinois
Zip
61938-9261
Phone Number
217-258-4997
Fax Number
217-258-2274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209-015007 (Illinois)
Definition
Definition to come...
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