JESSICA ANN LACEY

MATTOON, IL
NPI1528349834
Former NameJESSICA ANN LACEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.008990)
Enumeration Date2011-08-31
Last Update Date2025-09-19
Business Address
JESSICA ANN LACEY NP
1201 WOODDELL WAY STE B
MATTOON, IL 61938-1014
Phone number: 217-238-2030
Mailing Address
JESSICA ANN LACEY NP
PO BOX 372
MATTOON, IL 61938-0372
Phone number: