Amy Jessup is a Nurse Practitioner in Urbana, Illinois. Amy Jessup practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Amy Jessup is 1295905214. The last update date is 2015-05-26.
Amy Jessup's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173836792. The mailing address for Amy Jessup is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Jessup |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1295905214 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173836792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209006816 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Amy Jessup by the Centers for Medicare & Medicaid Services?
The Amy Jessup has been issued the NPI (National Provider Identifier) 1295905214. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amy Jessup?
The Amy Jessup is physically situated at 611 W Park St, in the city of Urbana, state of IL, with the postal code 618012529.
What is Amy Jessup's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amy Jessup is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295905214 to Amy Jessup?
The Centers for Medicare & Medicaid Services assigned the 1295905214 to Amy Jessup on 2008-03-05.
As of what date was the information regarding Amy Jessup, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amy Jessup, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-26.