Individual provider · NPI-1

Victoria L Jansen, MD

Internal Medicine · Swansea, IL

NPI number1932191863
StatusActive
Last updated in NPPESFeb 2, 2023

Details

NPI
1932191863
Entity type
Individual (NPI-1)
Name
Victoria L Jansen
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 17, 2005
Certification date
Feb 2, 2023
Last updated
Feb 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036.104122ILYes
207R00000X Internal Medicine2008016019MO
208000000X Pediatrics2008016019MO

Practice location

4 Park Pl
Swansea, IL 62226-2965

Phone 618-277-7500 · Fax 618-277-4236

Mailing address

Po Box 419059
Saint Louis, MO 63141-9059

Phone 618-277-7500 · Fax 618-277-4623

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