Joleasa Trice, is a
Registered Nurse based in Glenwood, Illinois. Joleasa Trice is licensed to practice in Illinois (license number 041602667) and her current practice location is
512 E Mulberry Ct, Glenwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 489-9167.
NPI number for Joleasa Trice is 1720933393 and her current mailing address is 512 E Mulberry Ct, Glenwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720933393.
Provider's Profile
| Full Name | Joleasa Trice |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 512 E Mulberry Ct, Glenwood, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720933393
- Provider Enumeration Date: 02/28/2026
- Last Update Date: 02/28/2026
Medical Identifiers
Medical identifiers for Joleasa Trice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720933393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041602667 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joleasa Trice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Joleasa Trice, 512 E Mulberry Ct, Glenwood, IL 60425-1717 Ph: (312) 489-9167 | Joleasa Trice, 512 E Mulberry Ct, Glenwood, IL 60425-1717 Ph: (312) 489-9167 |
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