Individual
MS. JEWEL RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 JAMES R THOMPSON BLVD STE 2015, EAST SAINT LOUIS, IL 62201-1118
(618) 482-6959
Mailing address
601 JAMES R THOMPSON BLVD BLDG D, EAST SAINT LOUIS, IL 62201-1118
(618) 482-6959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.031195
IL
363LF0000X
Family Nurse Practitioner
Primary
209.031195
IL
Other
Enumeration date
08/14/2023
Last updated
09/15/2025
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