JESSICA ASHLEY WARGO


Address: 1319 N Veterans Pkwy Ste 3b, Bloomington, IL 61704-6428
Phone: 3098274014

JESSICA ASHLEY WARGO (NPI# 1578198420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578198420
Entity Type Individual
Full Name JESSICA ASHLEY WARGO
Practice Address 1319 N Veterans Pkwy Ste 3b
Bloomington
IL 61704-6428
Mailing Address 2103 Fifer Dr
Bloomington
IL 61704-8524
Practice Telephone 3098274014
Mailing Telephone 3098465866
Enumeration Date 2020-03-10
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209.020800 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA WARGO

NPI Name Taxonomy Address Enumeration
1801390174 Jessica Rose Wargo Specialist/Technologist 10600 White Oak Ave, Dyer, IN 46311-3356 2018-03-21

Office Location

Street Address 1319 N VETERANS PKWY STE 3B
City BLOOMINGTON
State IL
Zip Code 61704-6428

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1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821615485 Denise Michelle Alexander Nurse Practitioner 815 West 2nd Street, Bloomington, IN 47403-2212 2020-06-30
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1275084170 Christina Lisowski Nurse Practitioner 2412 E Washington St Ste 4b, Bloomington, IL 61704-1613 2016-10-17
1528479771 Cura Medical Group, LLC Nurse Practitioner 13 Red Stone Ct, Bloomington, IL 61704-8403 2014-05-09
1790118586 Anastasia Kovalaske Nurse Practitioner 1401 Eastland Dr Suite B, Bloomington, IL 61761-3514 2013-08-15
1528342730 Theresa Rose Woodard Nurse Practitioner 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 2011-10-06
1205160975 Stacey Kaye England Nurse Practitioner 123 S Franklin Rd, Bloomington, IN 47404-5296 2009-09-28
1700065505 Joan Marie Goodman Nurse Practitioner 383 S. Park Ridge Rd., Ste 102, Bloomington, IN 47401-8574 2007-10-29
1376638262 Rose M Seguin Nurse Practitioner 421 S College Ave, Bloomington, IN 47403-1514 2006-10-04
1396789210 Kimberly Nord Nurse Practitioner 1405 Eastland Dr, Bloomington, IL 61701-3514 2006-06-15
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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