Individual
JESSICA R THERIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2122 TROY RD STE 130, EDWARDSVILLE, IL 62025-2540
(618) 800-4500
Mailing address
4600 MEMORIAL DR STE 360, BELLEVILLE, IL 62226-5366
(618) 222-7280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026898
IL
Other
Enumeration date
03/09/2023
Last updated
09/26/2025
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