Individual
JESSICA NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
101 MCCAUSLAND ST, CARLINVILLE, IL 62626-9133
(217) 930-2106
(217) 716-2265
Mailing address
101 MCCAUSLAND ST, CARLINVILLE, IL 62626-9133
(217) 930-2106
(217) 716-2265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2018027751
MO
363LF0000X
Family Nurse Practitioner
309.014223
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018027751
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277004606
IL
Other
Enumeration date
07/27/2018
Last updated
02/12/2026
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