Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Ann Bode, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1245572213

Jacqueline Ann Bode, APN is a Psychiatric/Mental Health Nurse Practitioner in Champaign, Illinois. Works from 4 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

205 W Park Ave Ste 103
Champaign, IL 61820-7888
Phone: (217) 284-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 15421 Clayton Rd, Ballwin, MO 63011-3163 — (636) 552-4772
  • 3165 McKelvey Rd Ste 205, Bridgeton, MO 63044-2550 — (314) 282-3224
  • 6698 Keaton Corporate Pkwy, O Fallon, MO 63368-8724 — (636) 614-1638

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 277.002017 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277.002017 (IL)

Record details

NPI number1245572213
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedMarch 18, 2013
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address177 Jessica Dr, Saint Jacob, IL 62281-1247

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