Individual provider · Type 1 NPI
Jessica Pedersen
Student in an Organized Health Care Education/Training Program · Villa Grove, IL
Practice location
400 N Sycamore St
Villa Grove, IL 61956-9771
Mailing address
1705 Gentry Square Ln Apt 106
Champaign, IL 61821-5973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
About NPI 1629793070
Jessica Pedersen's National Provider Identifier is 1629793070, issued on Oct 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Villa Grove, IL. The record was last updated on Oct 7, 2022.