Individual
JESSICA MARIE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4800
Mailing address
11301 JAMES CT, GENOA, IL 60135-8069
(815) 508-7436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026065
IL
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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