Jessica Lyons, NP
Nurse Practitioner, Family in Odin, IL. Individual provider (NPI-1).
NPI number1477337293
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1477337293
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lyons
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2023
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209019673 | IL | Yes |
Practice location
3283 Farthing RdOdin, IL 62870-2035
Phone 618-780-1680
Mailing address
3283 Farthing RdOdin, IL 62870-2035
Phone 618-780-1680
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