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

Jadeyn Lacey

Individual provider Critical Care Medicine Registered Nurse · NPI 1447949714

Jadeyn Lacey is a Critical Care Medicine Registered Nurse in Bloomington, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
Specialties on file
3

Practice location Address checks out

1336 E Empire St
Bloomington, IL 61701-3420
Phone: (309) 863-5454
Show map & directions

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

Additional practice locations (1)

  • 2412 E Washington St Ste 4a, Bloomington, IL 61704-1613 — (309) 863-5454

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041.440517 (IL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 041.440517 (IL)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 041.440517 (IL)

Record details

NPI number1447949714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address2412 E Washington St Ste 4a, Bloomington, IL 61704-1613