Organization · Type 2 NPI
Deaconess Illinois Specialty Clinic, Inc.
Nurse Practitioner · Mount Vernon, IL
Practice location
3111 Broadway St
Mount Vernon, IL 62864-2338
Fax (618) 241-0302
Mailing address
PO Box 34266
Belfast, ME 04915-0620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
4 other providers at this address
- Deaconess Illinois Clinic, IncFamily Medicine Physician Mount Vernon, IL NPI 1558088138
- Deaconess Illinois Specialty Clinic, Inc.Occupational Health Nurse Practitioner Mount Vernon, IL NPI 1679270763
- Bridgett Nicole Brown, FNP-CNurse Practitioner Mount Vernon, IL NPI 1932881331
- Brittany McDonald, APRNNurse Practitioner Mount Vernon, IL NPI 1962204503
About NPI 1497462964
Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1497462964, issued on Nov 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jan 26, 2023.