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Individual

JACLYN N SNEED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4600 MEMORIAL DR STE 120, BELLEVILLE, IL 62226-5359
(618) 222-1020
Mailing address
4600 MEMORIAL DR STE 120, BELLEVILLE, IL 62226-5359
(618) 222-1020

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01727
NC
363A00000X
Physician Assistant
Primary
085.004206
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-01727
STATE LICENSE
NC
01
085.004206
ILLINOIS MEDICAL LICENSE-PHYSICIAN ASSISTANT
IL
Enumeration date
03/06/2009
Last updated
09/25/2025
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