Individual
JESSICA L SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7700
(309) 683-7752
Mailing address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7700
(309) 683-7752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018917
IL
Other
Enumeration date
03/05/2019
Last updated
01/28/2025
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