Search › Illinois › 363L00000X
Andrea Jackson, APN
NPI 1447511746 · on the registry since 2012
Practice
- Address
- 636 Raymond Dr Ste 303
Naperville, IL 60563 - Phone
- (630) 653-4240
- Fax
- (630) 315-1505
- Organisation at this address
- Dupage Dental Pc
Timothy Nugent Dds Pc
Central Dupage Health
Midwest Travel Medicine Pc
Dupage Medical Group, Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 86
Additional practice sites
- 400 N Highland Ave, Aurora, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LW0102X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-21
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