JACEY RENEE DILLON


Address: 2119 Stoner Dr W, Charleston, IL 61920-3723
Phone: 2175496518

JACEY RENEE DILLON (NPI# 1043837883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043837883
Entity Type Individual
Full Name JACEY RENEE DILLON
Practice Address 2119 Stoner Dr W
Charleston
IL 61920-3723
Practice Telephone 2175496518
Mailing Telephone 2175496518
Enumeration Date 2020-06-27
Last Update Date 2020-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2119 STONER DR W
City CHARLESTON
State IL
Zip Code 61920-3723

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124643879 Jenna Kay Mortensen Speech-Language Pathologist 2086 7th Street, Charleston, IL 61920 2020-06-09
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1679066773 Jennifer Hess Specialist/Technologist 2506 Lantz Building, Charleston, IL 61920 2018-06-13
1134647969 Nichole C Ogilvie Student in an Organized Health Care Education/Training Program 917 4th Street Apt 19, Charleston, IL 61920 2017-08-31
1467970319 Marcus Roach Physical Therapy Assistant 912 Oakcrest Dr. Apt D, Charleston, IL 61920 2017-08-30
1114478500 5 Guys Rx II LLC Pharmacy 1 W Lincoln Ave, Charleston, IL 61920 2016-10-20
1649723206 Bright Minds Educational Program Inc Developmental Therapist 7704 Deerpath Road, Charleston, IL 61920 2016-08-01
1760843379 Lisa Price Nurse Practitioner 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 2016-03-09
1104243385 Nathan David Schwartzkopf Specialist/Technologist 1340 A Street, Charleston, IL 61920 2014-03-25
1558694349 Emily Schilling Specialist/Technologist 2350 Harrison Avenue, Charelston, IL 61920 2009-09-10
Find all providers in zip 61920

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144833823 Shadi Adib Bashai Student in an Organized Health Care Education/Training Program 743 1/2 Washington St W, Charleston, WV 25302-1844 2020-08-24
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1629698865 Umer Muhammad Student in an Organized Health Care Education/Training Program Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2020-04-17
1730718891 Ryan Metts Student in an Organized Health Care Education/Training Program 211 Ashley Ave Apt B, Charleston, SC 29403-6859 2020-04-02
1598393506 Khadija Naseem Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 3200 Maccorkle Avenue Southeast, Charleston, WV 25304-1208 2020-03-27
1235766411 Abhishek Yadav Student in an Organized Health Care Education/Training Program 101 29th St Se Apt 20, Charleston, WV 25304-1149 2020-03-26
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1861027815 Robert Bryce Robbins Student in an Organized Health Care Education/Training Program Search Results 171 Ashley Ave, Charleston, SC 29425-0001 2020-03-10
1700426343 Mikaela Kiser Student in an Organized Health Care Education/Training Program 3813 Staunton Ave Se Unit A, Charleston, WV 25304-1537 2020-01-12
1588202204 Zachary Steven Gunter Student in an Organized Health Care Education/Training Program 1308 Camden Dr, Charleston, WV 25302-3724 2019-12-12
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 61920

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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