Organization · Type 2 NPI
St. Louis JC Vamc
VA Clinic/Center · Mount Vernon, IL
NPI number
1902840622
Active
Practice location
4000 S Water Tower Pl
Mount Vernon, IL 62864-9998
Mailing address
PO Box 94462
Cleveland, OH 44101-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
10 other providers at this address
- Alyssa Sabree Dudley, MSN, RNRegistered Nurse Mount Vernon, IL NPI 1639880628
- Andrea Stearns, NPNurse Practitioner Mount Vernon, IL NPI 1063256857
- Diana Bailey, RNRegistered Nurse Mount Vernon, IL NPI 1780396069
- Emily Newbury, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Mount Vernon, IL NPI 1508232315
- Gloria Funbi Igboin, MSN, RN, FNP, PMH-BCNurse Practitioner Mount Vernon, IL NPI 1417517285
- Kylie Jean Brumley, N/AHealth Information Technician Mount Vernon, IL NPI 1144921958
- Olga Mary Skelly, N/AHealth Information Specialist/Technologist Mount Vernon, IL NPI 1740982594
- Paige Niepoetter, FNPFamily Nurse Practitioner Mount Vernon, IL NPI 1235015603
- Samantha Tianna Someske, LPNLicensed Practical Nurse Mount Vernon, IL NPI 1689376444
- Tammi Lynn Kash, N/AHealth Information Technician Mount Vernon, IL NPI 1003518853
About NPI 1902840622
St. Louis JC Vamc's National Provider Identifier is 1902840622, issued on Jun 15, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 5, 2022.