Individual provider · Type 1 NPI
Kierstin Hancock, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Granite City, IL
NPI number
1053063776
Active
Practice location
54 Northgate Industrial Dr
Granite City, IL 62040
Mailing address
228 Carlton Point Dr
Wentzville, MO 63385-4807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2016006194 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.024785 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053063776
Kierstin Hancock, PMHNP's National Provider Identifier is 1053063776, issued on Jan 24, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Granite City, IL. The record was last updated on Jul 21, 2022.