Herron, Jesse Dewayne

Herron, Jesse Dewayne is an individual health care provider with primary practice located at 912 S Wood St # Mc913 , Chicago IL 60612-4300. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Herron, Jesse Dewayne can be contacted via phone (312) 996-2200.

Contact Information

Primary practice address
912 S Wood St # Mc913 Chicago IL 60612-4300
Phone: (312) 996-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 1-144296 Alabama
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041460500 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.017099 Illinois

Profile Details

NPI number 1841706371
LBN Legal business name Herron, Jesse Dewayne
Credentials APRN, CRNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Feb 8th, 2018 - about 6 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.

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