LACI CHRISTINE JANKOWSKI (NPI# 1689945339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689945339 |
| Entity Type | Individual |
| Full Name | LACI CHRISTINE JANKOWSKI |
| Credential | APN |
| Practice Address |
1501 Mcpherson Ave Mount Vernon IL 62864-2831 |
| Mailing Address |
490 W Lebanon St Nashville IL 62263-1349 |
| Practice Telephone | 6182411360 |
| Practice Fax Number | 6182411865 |
| Mailing Telephone | 6185211657 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
041-398735 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS LICENSES NUMBER | 041-398735 | 01 |
| Street Address |
1501 MCPHERSON AVE |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215951876 | Lynn M Followell | Nurse Practitioner | 1501 Mcpherson Ave, Mount Vernon, IL 62864-2831 | 2006-07-27 |
| 1154415008 | Katherine Bloodworth | Nurse Practitioner | 1501 Mcpherson Ave, Mount Vernon, IL 62864-2831 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407330541 | Andrea Kay Mantell | Nurse Practitioner | 1451 Yauger Rd Ste 1a, Mount Vernon, OH 43050-7098 | 2018-09-24 |
| 1871802769 | Kathy Y Bradford | Nurse Practitioner | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2010-09-27 |
| 1114049723 | Cathy Ann Smith | Nurse Practitioner | 700 S 2nd St, Room 301, Mount Vernon, WA 98273-3879 | 2007-04-04 |
| 1518927755 | James V Wiandt | Nurse Practitioner | 7 Woodlake Trl, Knox Cardiology Associates, Mount Vernon, OH 43050-8103 | 2006-03-23 |
| 1457716995 | Anna Catherine Cairns | Nurse Practitioner | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2015-12-29 |
| 1275954778 | Karla Webb | Nurse Practitioner | 2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 | 2013-12-31 |
| 1871867465 | Jason A Davison | Nurse Practitioner | 2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 | 2012-02-29 |
| 1093951204 | Kristin Elizabeth Baker | Nurse Practitioner | 7 Woodlake Trl, Mount Vernon, OH 43050-8103 | 2008-12-18 |
| 1134337819 | Cheryl Pensiero | Nurse Practitioner | 127 E Lincoln Ave, Mount Vernon, NY 10552-3208 | 2007-05-18 |
| 1952437089 | Drew Yates Sagar | Nurse Practitioner | 12 N 7th Ave, Chronic Wound and Hyperbaric Treatment Unit, Mount Vernon, NY 10550-2026 | 2007-02-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on LACI CHRISTINE JANKOWSKI.
| 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.