Individual
JESSICA L. CHARRON
Active
Individual
JESSICA L. CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209006763
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209006763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00724203
RR MEDICARE
IL
Enumeration date
11/14/2007
Last updated
12/30/2019
Update your record
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