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

MS. Jewel Radford, RN

Individual provider Nurse Practitioner · NPI 1083397202

MS. Jewel Radford, RN is a Nurse Practitioner in East Saint Louis, Illinois. Graduated from Southern Illinois University School of Medicine in 2024, 2 years ago. Practices with Board of Trustees of Southern Illinois University, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

601 James R Thompson Blvd Ste 2015
East Saint Louis, IL 62201-1118
Phone: (618) 482-6959
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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 209.031195 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.031195 (IL)

Record details

NPI number1083397202
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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