Mandrell, Jessica Lynn

Mandrell, Jessica Lynn is an sole proprietor health care provider with primary practice located at 819 Bloomington Rd , Champaign IL 61820-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mandrell, Jessica Lynn can be contacted via phone (217) 356-1558.

Contact Information

Primary practice address
819 Bloomington Rd Champaign IL 61820-2101
Phone: (217) 356-1558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.028468 Illinois

Profile Details

NPI number 1043084528
LBN Legal business name Mandrell, Jessica Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2023
Last updated Nov 14th, 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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