Individual
JEEMIN EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
(217) 342-7002
Mailing address
PO BOX 665, EFFINGHAM, IL 62401-0665
(217) 342-7000
(217) 342-7002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-405262
IL
363LF0000X
Family Nurse Practitioner
Primary
209-015825
IL
Other
Enumeration date
03/23/2017
Last updated
05/15/2023
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