JESSICA LYNN MANDRELL

CHAMPAIGN, IL
NPI1043084528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.028468)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
JESSICA LYNN MANDRELL
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
JESSICA LYNN MANDRELL
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number:
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