Provider Demographics
NPI:1518322437
Name:TORRE, JESSICA ANN (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:TORRE
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:HOMYAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:259 E ERIE ST STE 1450
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3947
Mailing Address - Country:US
Mailing Address - Phone:312-695-7746
Mailing Address - Fax:312-694-6387
Practice Address - Street 1:259 E ERIE ST STE 1450
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3947
Practice Address - Country:US
Practice Address - Phone:312-695-7746
Practice Address - Fax:312-694-6387
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP15363363LF0000X
IL209013105363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily