Individual
JESSIE MARIE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1420 HARRISON ST, QUINCY, IL 62301-6706
(217) 222-8480
Mailing address
1420 HARRISON ST, QUINCY, IL 62301-6706
(217) 222-8480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.352851
IL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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