Individual provider · Type 1 NPI

Jessica N. Baine, APRN

Family Nurse Practitioner · Carbondale, IL

NPI number 1548815293 Active

Practice location

404 S Lewis Ln
Carbondale, IL 62901

Fax (618) 549-1288

Mailing address

PO Box 577, 109 California St
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X029.019857 (IL)
Registered Nurse 163W00000X041441276 (IL)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1548815293

Jessica N. Baine, APRN's National Provider Identifier is 1548815293, issued on Aug 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carbondale, IL. The record was last updated on Feb 9, 2023.