Individual provider · Type 1 NPI

Jessica Brough

Surgical Physician Assistant · Springfield, IL

NPI number 1356961908 Active

Practice location

800 N 1st St
Springfield, IL 62702-3778

Call (217) 528-7541 Map

Mailing address

PO Box 19248
Springfield, IL 62794-9248

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X085008034 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1356961908

Jessica Brough's National Provider Identifier is 1356961908, issued on Apr 23, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, IL. The record was last updated on May 1, 2023.