Jessica E Lucca
Nurse Practitioner Clinical Cardiac Electrophysiologist Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
319 E Madison St Ste 1f
Springfield
, Illinois 62701-3118
Jessica E Lucca
Nurse Practitioner Clinical Cardiac Electrophysiologist Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology
319 E Madison St Ste 1f
Springfield
, Illinois 62701-3118
(217) 527-3209
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jessica E Lucca
- Po Box 3428
- Springfield, IL
- Zip : 62708-3428
- Fax : (217) 527-3209
- Phone : (217) 788-3948
Second Address
- Jessica E Lucca
- 319 E Madison St Ste 1f
- Springfield, IL
- Zip : 62701-3118
- Fax : (217) 527-3209
- Phone : (217) 788-3948
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 209.012661 | IL |
| N | 363L00000X | Nurse Practitioner | 209012661 | IL |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 209.012661 | IL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 209.012661 | IL |
National Provider Identifier
| NPI | 1265827729 |
|---|---|
| Provider Name | Jessica E Lucca |
| First Address | Springfield, IL 62708-3428 |
| Second Address | Springfield, IL 62701-3118 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2015 |
| Last Update Date | 23/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041.375925 | RN LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.