Jessica R Miskell
Family Doctor Family Doctor - Addiction Medicine Nurse Practitioner - Primary Care Nurse Practitioner - Women's Health and 3 more
218 W Madison St
Ottawa
, Illinois 61350-2819
Jessica R Miskell
Family Doctor Family Doctor - Addiction Medicine Nurse Practitioner - Primary Care Nurse Practitioner - Women's Health and 3 more
218 W Madison St
Ottawa
, Illinois 61350-2819
(877) 503-2851
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jessica R Miskell
- 218 W Madison St
- Ottawa, IL
- Zip : 61350-2819
- Fax : (877) 503-2851
- Phone : (815) 431-1122
Second Address
- Jessica R Miskell
- 218 W Madison St
- Ottawa, IL
- Zip : 61350-2819
- Fax : (877) 503-2851
- Phone : (815) 431-1122
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FAQs
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Where is Jessica R Miskell ’s practice located?
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Is Jessica R Miskell a sole practitioner?
Is Jessica R Miskell accepting new patients?
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Does Jessica R Miskell have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 209009286 | IL |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 209009286 | IL |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 209009286 | IL |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 277000895 | IL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 209009286 | IL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 277000895 | IL |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 277000895 | IL |
National Provider Identifier
| NPI | 1710256631 |
|---|---|
| Provider Name | Jessica R Miskell |
| First Address | Ottawa, IL 61350-2819 |
| Second Address | Ottawa, IL 61350-2819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2011 |
| Last Update Date | 04/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041326705 | REGISTERED NURSE (01) | IL |
| 14D2107071 | CLIA EXP 1/5/22 (01) | IL |
| 1710256631 | NPI (01) | IL |
| 1750756979 | GROUP NPI (01) | IL |
| 2011016696 | BOARD CERTIFIED BY ANCC (01) | IL |
| 277000895 | FULL PRACTICE AUTHORITY APN (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.