Individual provider · Type 1 NPI

Gloria Funbi Igboin, MSN, RN, FNP, PMH-BC

Nurse Practitioner · Mount Vernon, IL

NPI number 1417517285 Active

Practice location

4000 S Water Tower Pl
Mount Vernon, IL 62864-2349

Mailing address

4001 S Water Tower Pl Apt 234
Mount Vernon, IL 62864-6593

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11002204 (FL)

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 1417517285

Gloria Funbi Igboin, MSN, RN, FNP, PMH-BC's National Provider Identifier is 1417517285, issued on Jun 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Sep 8, 2026.