Individual
JAMMIE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1802 N DIVISION ST STE 701, MORRIS, IL 60450-3120
(815) 942-5790
Mailing address
1860 PAYSHERE CIR, CHICAGO, IL 60674-1023
(630) 545-6016
(630) 545-4064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.014771
IL
Other
Enumeration date
08/31/2016
Last updated
07/21/2022
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