IndividualActive
Abby Medford, PA-C
NPI 1114759255 · Physician Assistant · Jerseyville, IL
Provider details
- NPI number
- 1114759255
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Practice location
390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone: (618) 498-2101
Fax: (618) 498-8153
Mailing address
390 Maple Summit Rd
Jerseyville, IL 62052-2000
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.