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

Michael Jasper Igho

Individual provider Registered Nurse · NPI 1366269466

Michael Jasper Igho is a Nurse Practitioner in Springfield, Illinois. Qualified in 2024, 2 years ago. Licensed in Arizona and Illinois.

Years since qualifying
2
Licensed in
AZ, IL
In the registry since
2024
Specialties on file
3

Practice location Address checks out

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3000
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209031001 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041489427 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 291077 (AZ)

Record details

NPI number1366269466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 21, 2024
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address1715 Spartan Dr, Chatham, IL 62629-8137

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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