Miskell, Jessica R

Miskell, Jessica R is an sole proprietor health care provider with primary practice located at 218 W Madison St , Ottawa IL 61350-2819. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miskell, Jessica R can be contacted via phone (815) 431-1122.

Contact Information

Primary practice address
218 W Madison St Ottawa IL 61350-2819
Phone: (815) 431-1122
Fax: (877) 503-2851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209009286 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 209009286 Illinois
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 277000895 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009286 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 277000895 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209009286 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 277000895 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000895 Illinois

Profile Details

NPI number 1710256631
LBN Legal business name Miskell, Jessica R
Credentials INDEPENDENT APN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Feb 4th, 2021 - about 3 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 1710256631 NPPES
Illinois Other 277000895 FULL PRACTICE AUTHORITY APN
Illinois Other 1710256631 FULL PRACTICE AUTHORITY APN
Illinois Other 2011016696 FULL PRACTICE AUTHORITY APN
Illinois Other 14D2107071 FULL PRACTICE AUTHORITY APN
Illinois Other 1750756979 FULL PRACTICE AUTHORITY APN
Illinois Other 041326705 FULL PRACTICE AUTHORITY APN

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