Individual
MRS. JESSICA DOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
315 W CARPENTER ST, 2ND FLOOR, CLINIC C, SPRINGFIELD, IL 62702-4901
(217) 545-8000
(217) 545-7053
Mailing address
PO BOX 19677, SPRINGFIELD, IL 62794-9677
(217) 545-8000
(217) 545-7053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012567
IL
Other
Enumeration date
02/19/2015
Last updated
03/10/2016
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