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JAYDA LEA KOSYDOR APRN
NPI 1356935100
Nurse Practitioner - Pediatrics in Marion, IL

Active since February 23, 2021
3412 OFFICE PARK DR, MARION, IL 62959(618) 993-0404 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Feb 23, 2021 (2 updates tracked since 2021).

About Jayda Lea Kosydor Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYDA LEA KOSYDOR APRN (NPI 1356935100) is an individual pediatrics provider in Marion, Illinois, licensed in Illinois (209022897) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1356935100
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJAYDA LEA KOSYDORCredential: APRN
Location Address3412 OFFICE PARK DRMarion, IL 62959-6477
Mailing Address3412 Office Park DrMarion, IL 62959-6477 · (618) 993-0404
Phone(618) 993-0404
Sole ProprietorNo
Enumeration DateFebruary 23, 2021
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1356935100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209022897
3412 OFFICE PARK DR, Marion, IL 62959
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Other Names 1

Other Name (5)Jayda Lea Kosydor Aprn

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE WHARTON APN, NP-C
Nurse Practitioner (Family)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
ANNIE IMBODEN CNP
Nurse Practitioner (Pediatrics)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
TARRYN KACEY WHORTON
Nurse Practitioner (Pediatrics)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
DR. AMY ELIZABETH GERWE M.D.
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
SANDRA TATE APN, PMNCNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 292-9999
ERICA MARIE GRIMM DO
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
SADASHIVAIAH BHASKAR M.D.
Pediatrics
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404
GINA GLADSON MSN FNP-C
Nurse Practitioner
3412 OFFICE PARK DR
MARION, IL 62959
Williamson County (618) 993-0404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayda Kosydor's NPI number?

The NPI number for Jayda Kosydor is 1356935100. It was assigned to this individual provider in the NPPES registry on February 23, 2021. The provider is also known as Jayda Lea Kosydor Aprn.

Where is Jayda Kosydor located?

Jayda Kosydor practices at 3412 Office Park Dr, Marion, IL 62959. The listed phone number is (618) 993-0404.

What is Jayda Kosydor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jayda Kosydor was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.