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1710387154
JESSI R. PRENTICE
SPRINGFIELD, IL
NPI
1710387154
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Former Name
JESSI R. BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209011768)
Enumeration Date
2014-09-03
Last Update Date
2020-04-29
Business Address
JESSI R. PRENTICE FNP-BC
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
JESSI R. PRENTICE FNP-BC
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Copy
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