Lacey, Jadeyn

Lacey, Jadeyn is an individual health care provider with primary practice located at 1336 E Empire St , Bloomington IL 61701-3420. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Emergency, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Lacey, Jadeyn can be contacted via phone (309) 863-5454.

Contact Information

Primary practice address
1336 E Empire St Bloomington IL 61701-3420
Phone: (309) 863-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041.440517 Illinois
Nursing Service Providers / Emergency 163WE0003X 041.440517 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.440517 Illinois

Profile Details

NPI number 1447949714
LBN Legal business name Lacey, Jadeyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - about last year

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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