Individual provider · Type 1 NPI

Alyssa M. Branson, FNP

Nurse Practitioner · Belleville, IL

NPI number 1245953470 Active

Practice location

4600 Memorial Dr Ste 400
Belleville, IL 62226-5366

Mailing address

PO Box 959203
St. Louis, MO 63195-8512

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209025308 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245953470

Alyssa M. Branson, FNP's National Provider Identifier is 1245953470, issued on Sep 22, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 26, 2025.