Most Relevant Information
Provider Data
| NPI Number: | 1003591082 |
| Provider Name: | JESSICA VIGNONE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2023 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
1 HARPIN DR
EDWARDSVILLE
IL
620260001
Practice Location Phone/Fax
| Phone: | 6186503956 |
| Fax: |
Provider Mailing Location
1 HARPIN DR
EDWARDSVILLE
IL
620260001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |