Jessie Nicole Fox
Nurse Practitioner in Marion, IL. Individual provider (NPI-1).
NPI number1033768577
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1033768577
- Entity type
- Individual (NPI-1)
- Name
- Jessie Nicole Fox
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2019
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209020010 | IL | Yes |
Practice location
2808 Outer DrMarion, IL 62959-5207
Phone 618-993-3817
Mailing address
Po Box 3988Carbondale, IL 62902-3988
Phone 618-457-5200 · Fax 618-529-0586
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All 37 Nurse Practitioner providers in Marion · All 1,484 providers in Marion
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