Provider Demographics
NPI:1003370743
Name:GAY, JESSICA SCOT (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:SCOT
Last Name:GAY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:SCOT
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:8323 E 1410 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:FAIRMOUNT
Mailing Address - State:IL
Mailing Address - Zip Code:61841-6294
Mailing Address - Country:US
Mailing Address - Phone:217-799-5260
Mailing Address - Fax:
Practice Address - Street 1:3545 N VERMILION ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1100
Practice Address - Country:US
Practice Address - Phone:217-651-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277001817363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner