Gamblin, Jessica

Gamblin, Jessica is an individual health care provider with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Gamblin, Jessica can be contacted via phone (309) 243-3000.

Contact Information

Primary practice address
8940 N Wood Sage Rd Peoria IL 61615-7822
Phone: (309) 243-3000
Fax: (309) 243-3274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209.014027 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209014027 Illinois

Profile Details

NPI number 1356792956
LBN Legal business name Gamblin, Jessica
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2016
Last updated Oct 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356792956 NPPES
Illinois Other 209.014027 LICENSE NUMBER

Popular Providers