Lacey, Jessica Ann
Lacey, Jessica Ann is an individual health care provider with primary practice located at 792 N Sunnyside Rd , Decatur IL 62522-1156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lacey, Jessica Ann can be contacted via phone (217) 362-5442.Contact Information
Primary practice address
792 N Sunnyside Rd
Decatur IL 62522-1156
Phone: (217) 362-5442
Fax: (217) 362-5470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.008990 | Illinois |
Profile Details
| NPI number | 1528349834 |
|---|---|
| LBN Legal business name | Lacey, Jessica Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2011 |
| Last updated | May 22nd, 2024 - about 7 months 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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