Individual
JESSICA PAULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-8517
Mailing address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-8517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041374674
IL
163W00000X
Registered Nurse
28171798A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28171798A
IN
Other
Enumeration date
01/24/2014
Last updated
06/25/2025
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