Search › Illinois › 363LF0000X
Jessica Baine, APRN
NPI 1548815293 · on the registry since 2019
Practice
- Address
- 404 S Lewis Ln
Carbondale, IL 62901 - Phone
- (618) 519-9200
- Fax
- (618) 549-1288
- Organisation at this address
- Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-09
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