Search › Illinois › 363LA2100X
Jessica Mitchell, APRN, CNP
NPI 1174739205 · on the registry since 2007
Practice
- Address
- 530 Ne Glen Oak Ave
Peoria, IL 61637 - Phone
- (309) 624-8818
- Fax
- (309) 624-8820
- Organisation at this address
- University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,001
Additional practice sites
- 200 E Pennsylvania Ave, Peoria, IL
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163WG0000X
363L00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois