Search › Illinois › 367500000X
Cierra Jethro
NPI 1972387157 · on the registry since 2023
Practice
- Address
- 1 Hairpin Drive
Edwardsville, IL 62026 - Phone
- (618) 650-3956
- Clinicians at this address
- 165
Additional practice sites
- 55 Potomac Dr, Fairview Heights, IL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-17
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