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

Jacy Ellen Hargrave

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871425983

Jacy Ellen Hargrave is a Student in an Organized Health Care Education/Training Program in Moline, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1586 37th Ave
Moline, IL 61265-7213
Phone: (309) 944-7833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1871425983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

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