Individual
JEANNE ANN STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
16342 N IL HWY 37, MT. VERNON, IL 62864-0054
(618) 242-1510
(618) 242-0958
Mailing address
PO BOX 428, MT. VERNON, IL 62864-0054
(618) 242-1510
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.326461
IL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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