Lucca, Jessica E

Lucca, Jessica E is an individual health care provider with primary practice located at 319 E Madison St Ste 1F , Springfield IL 62701-3118. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lucca, Jessica E can be contacted via phone (217) 788-3948.

Contact Information

Primary practice address
319 E Madison St Ste 1F Springfield IL 62701-3118
Phone: (217) 788-3948
Fax: (217) 527-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 209.012661 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209012661 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.012661 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.012661 Illinois

Profile Details

NPI number 1265827729
LBN Legal business name Lucca, Jessica E
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Dec 23rd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265827729 NPPES
Illinois Other 041.375925 RN LICENSE

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