| NPI | 1114259199 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2010-02-02 |
| Last Updated | 2021-04-07 |
| Mailing Address | 1191 Fortune Blvd Ste 2 Shiloh, IL 62269-7474 United States Phone: (618) 622-7456 | Fax: (618) 627-0098 📍 View Map |
| Primary Practice Address | 1191 Fortune Blvd Shiloh, IL 62269-7473 United States Phone: (618) 622-7546 | Fax: (618) 627-0098 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 085003689 | Illinois license number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | IL | 085003689 |
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About NPI 1114259199
Jennifer Jeanne Jouett PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114259199. The primary specialty listed is Physician Assistant. The provider is located in Shiloh, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-02-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114259199?
NPI 1114259199 belongs to Jennifer Jeanne Jouett PA-C, a Physician Assistant in Shiloh, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114259199 active?
The current status of NPI 1114259199 in the NPPES registry is Active. The record was last updated on 2021-04-07.
What specialty is NPI 1114259199?
NPI 1114259199 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114259199?
You can verify NPI 1114259199 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114259199?
The primary practice address on file for NPI 1114259199 is 1191 Fortune Blvd, Shiloh, IL 62269-7473. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114259199 issued?
NPI 1114259199 was first issued (enumerated) on 2010-02-02. The NPPES record was last updated on 2021-04-07.
Practice Location Map
Jennifer Jeanne Jouett is located at 1191 Fortune Blvd, Shiloh, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jennifer Jeanne Jouett. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114259199. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | 085003689 | IL |