JACKLYN HEDGER (NPI# 1558756205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558756205 |
| Entity Type | Individual |
| Full Name | JACKLYN HEDGER |
| Credential | NP-C |
| Practice Address |
4241 State Highway 14 Christopher IL 62822 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6187242401 |
| Practice Fax Number | 6187249257 |
| Mailing Telephone | 6187241624 |
| Mailing Fax Number | 6187244628 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012480 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.012480 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 W Main St, Marion, IL 629591188 | 6189975311 |
| Street Address |
4241 STATE HIGHWAY 14 |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548200298 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2006-06-08 |
| 1063076016 | Laura Schall | Dentist | 4241 State Highway 14, Christopher, IL 62822-1037 | 2019-04-25 |
| 1881168300 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2019-01-17 |
| 1558839084 | Heather Rae Ward | Nurse Practitioner | 4241 State Highway 14, Christopher, IL 62822-1037 | 2018-11-02 |
| 1992290506 | Kasandra Sapp | Social Worker | 4241 State Highway 14, Christopher, IL 62822-1037 | 2018-06-26 |
| 1679024590 | Angela Diane Olson | Social Worker | 4241 State Highway 14, Christopher, IL 62822-1037 | 2016-10-14 |
| 1437505526 | Melissa Aaron | Counselor | 4241 State Highway 14, Christopher, IL 62822 | 2016-05-09 |
| 1982070942 | Leslie Suzanne Jones | Registered Nurse | 4241 State Highway 14, Christopher, IL 62822 | 2015-08-13 |
| 1134340227 | Theresa A Rogers Smith | Physician Assistant | 4241 State Highway 14, Christopher, IL 62822-1037 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1194877233 | Lana Malkovich | Pharmacy Technician | Rea Clinic Pharmacy, 4241 Highway 14 West, Christopher, IL 62822 | 2007-01-17 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| Find all providers in zip 62822 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1558839084 | Heather Rae Ward | Nurse Practitioner | 4241 State Highway 14, Christopher, IL 62822-1037 | 2018-11-02 |
| 1003247511 | Deborah Saylor Connell | Nurse Practitioner | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2013-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
Please comment or provide details below to improve the information on JACKLYN HEDGER.
| 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.