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JESSICA PEDERSEN
NPI 1629793070
Student in an Organized Health Care Education/Training Program in Villa Grove, IL

Active since October 07, 2022
400 N SYCAMORE ST, VILLA GROVE, IL 61956(217) 832-2261 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Pedersen NPPES

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

JESSICA PEDERSEN (NPI 1629793070) is an individual student in an organized health care education/training program in Villa Grove, Illinois and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1629793070
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA PEDERSEN
Location Address400 N SYCAMORE STVilla Grove, IL 61956-9771
Mailing Address1705 Gentry Square Ln Apt 106Champaign, IL 61821-5973 · (319) 899-6686
Phone(217) 832-2261
Sole ProprietorNo
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1629793070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
400 N SYCAMORE ST, Villa Grove, IL 61956
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Other Providers at the Same Location NPPES 2

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

VILLA GROVE COMMUNITY UNIT SCHOOL DISTRICT #302
Local Education Agency (LEA)
400 N SYCAMORE ST
VILLA GROVE, IL 61956
Douglas County (217) 832-2261
JODI NICOLE ARMSTRONG M.S., CCC-SLP
Speech-Language Pathologist
400 N SYCAMORE ST
VILLA GROVE, IL 61956
Douglas County (217) 832-2261

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 Jessica Pedersen's NPI number?

The NPI number for Jessica Pedersen is 1629793070. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Jessica Pedersen located?

Jessica Pedersen practices at 400 N Sycamore St, Villa Grove, IL 61956. The listed phone number is (217) 832-2261.

What is Jessica Pedersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Pedersen was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.