Individual provider · Type 1 NPI

Jennifer D. Wesselman-Williams, NP

Nurse Practitioner · Maryville, IL

NPI number 1073843967 Active

Practice location

2236 Vadalabene Dr
Maryville, IL 62062-5844

Call (618) 726-2229 Map

Fax (618) 726-2225

Mailing address

787 Sunset Blvd
O Fallon, IL 62269-1960

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Nurse Practitioner	363LX0001X	209007965 (IL)
Nurse Practitioner Primary	363L00000X	209007965 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073843967

Jennifer D. Wesselman-Williams, NP's National Provider Identifier is 1073843967, issued on Dec 28, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maryville, IL. The record was last updated on Apr 22, 2026.