Individual provider · Type 1 NPI

Jason Dwight Bernard

Nurse Practitioner · Mount Vernon, IL

NPI number 1215889407 Active

Practice location

4105 N Water Tower Pl
Mount Vernon, IL 62864-6296

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.035119 (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 1215889407

Jason Dwight Bernard's National Provider Identifier is 1215889407, issued on Feb 11, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Mar 27, 2026.