Provider Demographics
NPI:1427474709
Name:RINGWOOD, JESSICA LYNN (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:RINGWOOD
Suffix:
Gender:
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:KOPICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FAMILY NURSE PRACTIT
Mailing Address - Street 1:3004 N ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3012
Mailing Address - Country:US
Mailing Address - Phone:773-327-6624
Mailing Address - Fax:773-327-6685
Practice Address - Street 1:3004 N ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3012
Practice Address - Country:US
Practice Address - Phone:773-327-6624
Practice Address - Fax:773-327-6685
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704279210363LF0000X
IL209010963363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily