Jessica R Miskell, INDEPENDENTAPN
Jessica R Miskell, INDEPENDENTAPN is a Nurse Practitioner in Ottawa, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 8
Practice location Address checks out
218 W Madison StOttawa, IL 61350-2819
Phone: (815) 431-1122
Fax: (877) 503-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 277000895 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 209009286 (IL) |
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X · Licence 209009286 (IL) |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X · Licence 277000895 (IL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209009286 (IL) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 277000895 (IL) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 209009286 (IL) |
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence 277000895 (IL) |
Record details
| NPI number | 1710256631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | INDEPENDENTAPN |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2011 |
| Last updated in NPPES | February 4, 2021 |
| Certification date | February 4, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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