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Individual

JESSICA A REUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
2900 FRANK SCOTT PKWY W STE 908, BELLEVILLE, IL 62223-5000
(618) 234-9200
(618) 234-3940
Mailing address
2900 FRANK SCOTT PKWY W STE 908, BELLEVILLE, IL 62223-5000
(618) 234-9200
(618) 234-3940

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
2018004949
MO
363LF0000X
Family Nurse Practitioner
Primary
209030447
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467590166
IL
Enumeration date
09/19/2018
Last updated
10/14/2024
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