JESSICA YVONNE SALAKSANA

BRENTWOOD, TN
NPI1508549742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209028021)
Enumeration Date2023-08-14
Last Update Date2023-10-13
Business Address
Ms. JESSICA YVONNE SALAKSANA APRN
214 CENTERVIEW DR
BRENTWOOD, TN 37027-5274
Phone number: 913-222-8425
Mailing Address
Ms. JESSICA YVONNE SALAKSANA APRN
565 LAKEVIEW PKWY STE 104
VERNON HILLS, IL 60061-1822
Phone number: 224-998-5450