JESSICA NUSSBAUM

MARYVILLE, IL
NPI1184306524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085.009880)
Enumeration Date2023-08-04
Last Update Date2023-08-04
Business Address
JESSICA NUSSBAUM PA-C
6812 STATE ROUTE 162 STE 120
MARYVILLE, IL 62062-8586
Phone number: 618-288-0044
Mailing Address
JESSICA NUSSBAUM PA-C
8333 GOSHEN RD
EDWARDSVILLE, IL 62025-6908
Phone number: 309-310-7824