Individual
MS. JESSICA LYNN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1811
Mailing address
445 RANDOLPH DR, CENTRALIA, IL 62801-6002
(618) 204-2166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016857
IL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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