Individual provider · Type 1 NPI
Tracy Ann Iversen, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Macomb, IL
NPI number
1063261345
Active
Practice location
724 E Carroll St
Macomb, IL 61455-2454
Fax (309) 233-8272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209029712 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Macomb
About NPI 1063261345
Tracy Ann Iversen, PMHNP's National Provider Identifier is 1063261345, issued on May 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Macomb, IL. The record was last updated on Oct 13, 2026.