Individual
JOSIE CATHRYN JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 308-3350
Mailing address
17026 W PLEASANT GROVE RD, TRIVOLI, IL 61569-9547
(309) 397-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010795
IL
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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