| Doctor Name: | MRS. JESSICA L SHEEHAN |
| NPI Number: | 1467654772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP |
| License Number: | 209007047 |
| Business Practice Address: | 325 Spring St Red Bud, IL - 622781105 |
| Business Phone Number: | 6182823831 |
| Business Fax Number: | 6182826101 |
| Mailing Address: | 325 Spring St, RED BUD |
| State: | IL |
| Postal Code: | 622781105 |
| Phone Number: | 6182827373 |
| Fax Number: | 6182827376 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 209007047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |