JESSICA DUFFIN (NPI# 1770944571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770944571 |
Entity Type | Individual |
Full Name | JESSICA DUFFIN |
Credential | MSN, FNP-C |
Practice Address |
17333 La Grange Rd Ste 200 Tinley Park IL 60487-7510 |
Practice Telephone | 7083421900 |
Practice Fax Number | 7087459993 |
Mailing Telephone | 7083421900 |
Mailing Fax Number | 7087459993 |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-03-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013866 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
17333 LA GRANGE RD STE 200 |
City | TINLEY PARK |
State | IL |
Zip Code | 60487-7510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992797047 | Vasia A Ahmed | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2005-08-16 |
1821482928 | Megan Jones | Nurse Practitioner | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2015-03-26 |
1316236524 | Mylene Hernandez Remo | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2011-03-29 |
1427255447 | Shadi Latta | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2007-07-02 |
1740256783 | Subramanya Rao | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2006-02-28 |
1558336149 | Wasif Shirazi | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2006-02-17 |
1609868819 | Jose M Paredes | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2005-08-16 |
1598757718 | Mufaddal M Hamadeh | Internal Medicine | 17333 La Grange Rd Ste 200, Tinley Park, IL 60487-7510 | 2005-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
Find all providers in zip 60487 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568973956 | Jessica Sue Kot | Nurse Practitioner | 8505 183rd St Ste A, Tinley Park, IL 60487-9354 | 2017-10-12 |
1699134247 | Alicia Marie Belcher | Nurse Practitioner | 17749 65th Ave, Tinley Park, IL 60477-4370 | 2016-02-10 |
1861862658 | Beth Ann Avanzado | Nurse Practitioner | 18601 North Creek Drive, Tinley Park, IL 60477 | 2015-10-06 |
1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
1639415979 | Mary Shiellah Blancaflor James | Nurse Practitioner | 6700 167th St Ste 4, Tinley Park, IL 60477-2078 | 2012-12-13 |
1750561817 | Kathleen M Bester | Nurse Practitioner | 9551 171st St, Tinley Park, IL 60487-6109 | 2007-11-06 |
1629098009 | Oluyemisi Oludoyin Adebayo | Nurse Practitioner | 101 Iliad Dr, Tinley Park, IL 60477-4840 | 2006-07-20 |
1477192839 | Ebony Jones | Nurse Practitioner | 7300 191st St, Tinley Park, IL 60487-9361 | 2020-01-03 |
1710528740 | Pamela D Piszczek | Nurse Practitioner | 9551 171st St, Tinley Park, IL 60487-6109 | 2019-10-01 |
1245703354 | Shawntell Jackson | Nurse Practitioner | 18210 La Grange Rd, Ste 209, Tinley Park, IL 60487-7728 | 2019-01-10 |
Find all providers in TINLEY PARK |
City | TINLEY PARK |
Zip Code | 60487 |
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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.