Individual
JESSICA LAURYN RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 977-9117
Mailing address
544 W PERSHING RD, DECATUR, IL 62526-3226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023841
IL
Other
Enumeration date
09/14/2021
Last updated
02/20/2024
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