Individual
JESSICA LEE GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(618) 526-7271
Mailing address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(616) 526-7271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019892
IL
Other
Enumeration date
08/28/2019
Last updated
12/22/2021
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