Individual provider · Type 1 NPI
Jewel Radford, RN
Family Nurse Practitioner · East St. Louis, IL
NPI number
1083397202
Active
Practice location
601 James R Thompson Blvd Ste 2015
East St. Louis, IL 62201-1118
Mailing address
601 James R Thompson Blvd Bldg D
East St. Louis, IL 62201-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.031195 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.031195 (IL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1083397202
Jewel Radford, RN's National Provider Identifier is 1083397202, issued on Aug 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East St. Louis, IL. The record was last updated on Sep 15, 2025.