Jennifer Ruth Nichelson
F.N.P. | Nurse Practitioner
619 E Mason St, Suite 4p57, Springfield
Illinois, 62701-1034
217-788-0706
May or may not accept Medicare Nurse Anesthetist in Springfield, Illinois.Jennifer Ruth Nichelson is a Springfield, Illinois based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Jennifer Ruth Nichelson is 209007151 for Family in Illinois. Her current practice location is 619 E Mason St, Suite 4p57, Springfield. Patients can reach her at 217-788-0706 or can fax her at 217-525-2535. Jennifer Ruth Nichelson is F.N.P. with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1366608150.
Jennifer Ruth Nichelson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer Ruth Nichelson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Ruth Nichelson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | F.N.P. |
| Practice Address: | 619 E Mason St, Suite 4p57, Springfield, Illinois, 62701-1034 |
| Phone: | 217-788-0706 |
| Fax: | 217-525-2535 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1366608150 |
| NPI Enumeration Date: | 01 Aug, 2008 |
| NPI Last Update On: | 20 May, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Ruth Nichelson are as mentioned below.
| License Number | Specialization | State | Status | |
| 209007151 | Family | Illinois | Primary | |
| 209.007151 | Internal Medicine | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Ruth Nichelson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P01775273 | Other | Illinois | RAILROAD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Ruth Nichelson 619 E Mason St, Suite 4p57 Springfield, Illinois |
| Zip: | 62701-1034 |
| Phone Number: | 217-788-0706 |
| Fax Number: | 217-525-2535 |
Patients can reach Jennifer Ruth Nichelson at
619 E Mason St, Suite 4p57, Springfield, Illinois or can
call to book an appointment on 217-788-0706.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.