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MRS. JESSICA A. ALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
201 N UNIVERSITY, NORMAL, IL 61790-0001
(309) 438-8655
Mailing address
703 W MAPLE ST, CHAMPAIGN, IL 61820-2808

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209021614
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.021614
IL

Other

Enumeration date
10/06/2020
Last updated
02/25/2023
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