Jacklyn M Gideon is an adult health nurse practitioner in Chicago, IL with 8 years of experience. Jacklyn M Gideon NPI is 1629515572. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2016
The provider's business location address is:
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (888) 824-0200
The NPI 1629515572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/30/2017 and was last updated on 10/24/2022.