| Dr Jessica Giddens, PMHNP-BC | |
|
600 W Lincoln Ave, Caseyville, IL 62232-1329 | |
| (618) 310-0724 | |
| Not Available |
| Full Name | Dr Jessica Giddens |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 600 W Lincoln Ave, Caseyville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033544747 | NPI | - | NPPES |
| 6555912834012 | Other | IL | SURESCRIPTS |
| 377000614 | Other | IL | IL PRESCRIBING LICENSE |
| 277000634 | Other | IL | STATE LICENSE IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277000634 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Giddens, PMHNP-BC Attn: 614835 Po Box 1409, 131 W High St. #1409, Jefferson City, MO 65102-1720 Ph: (314) 413-6243 | Dr Jessica Giddens, PMHNP-BC 600 W Lincoln Ave, Caseyville, IL 62232-1329 Ph: (618) 310-0724 |
Tanvi Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 526 Niblick Dr, Caseyville, IL 62232 Phone: 618-560-6401 |