Individual
JESSICA DAWN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
890 E RIDGELAWN RD, MARTINSVILLE, IL 62442-2510
(217) 382-4191
(217) 382-4248
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.031961
IL
Other
Enumeration date
03/18/2025
Last updated
03/26/2025
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