Individual
NIKIA JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 264-2717
Mailing address
718 E BLACKBURN ST, PARIS, IL 61944-1204
(217) 264-2717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041435690
IL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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