Jammie Vickers, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.014771 Issued in IL

Practice address

1802 N Division St Ste 701
Morris, IL 60450-3120

Phone

(815) 942-5790

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083160840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606741023",
            "telephone_number": "630-545-6016",
            "fax_number": "630-545-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 701",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503120",
            "telephone_number": "815-942-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JAMMIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.014771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon James Valentine, FNP-C
• David D Vanderkin, MD
• Elizabeth Varnes, CADC
• Linda Sue Verchimak, FNP-BC
• David G Vermillion, M.D.
• Peter P Vienne Jr., DO
• Wal-Mart Stores, Inc (Vision Center 30-0844)
• Walgreen Co (Walgreens #04348)
• Walmart Inc.
• Bo Wang, DO

• Adult Health Nurse Practitioner in Morris, IL
• Providers in Morris, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.