JESSICA HEIDORN RN NPI 1427532100

NPI Information

NPI: 1427532100
Provider Name: JESSICA HEIDORN, RN
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
700 W CLEVELAND AVE
BELLEVILLE, IL
ZIP 62220
Phone: (618) 233-1608
Get Directions

Jessica Heidorn, RN is a school registered nurse in Belleville, IL. Jessica Heidorn, RN NPI is 1427532100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 W CLEVELAND AVE
BELLEVILLE, IL
ZIP 62220-496
Phone: (618) 233-1608
Fax: (618) 233-1751

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	2018004949	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1467590166	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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