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

Jessica Pedersen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629793070

Jessica Pedersen is a Student in an Organized Health Care Education/Training Program in Villa Grove, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

400 N Sycamore St
Villa Grove, IL 61956-9771
Phone: (217) 832-2261
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

Record details

NPI number1629793070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1705 Gentry Square Ln Apt 106, Champaign, IL 61821-5973