Individual
MRS. JESSICA NICOLE SALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
Mailing address
303 W WEBSTER ST, BENTON, IL 62812-1456
(618) 727-1903
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041368967
IL
163WM0705X
Medical-Surgical Registered Nurse
Primary
041368967
IL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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