Provider Type Icon

JESICA GOULD NP-C NPI 1801358908


NPI Profile

NPI: 1801358908
Provider Name: JESICA GOULD, NP-C
Classification:Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CARDIOVASCULAR MEDICINE PC

PECOS Registration: Yes

Address:
1100 36TH AVE
MOLINE, IL
ZIP 61265
Get Directions

Phone: (309) 743-6700

Jesica Gould, NP-C is a family nurse practitioner in Moline, IL with 3 years of experience. Jesica Gould, NP-C NPI is 1801358908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1100 36TH AVE
MOLINE, IL
ZIP 61265-127
Phone: (309) 743-6700

The NPI 1801358908 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 4/5/2019 and was last updated on 2/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily209.019088ILLINOISYes

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: 10/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.