Organization · Type 2 NPI
Deaconess Illinois Specialty Clinic, Inc.
Occupational Health Nurse Practitioner · Mount Vernon, IL
NPI number
1679270763
Active
Practice location
3111 Broadway St
Mount Vernon, IL 62864-2338
Fax (618) 241-0334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Health Nurse Practitioner Primary | 363LX0106X | None listed |
Occupational Health Nurse Practitioner: Definition to come...
4 other providers at this address
- Deaconess Illinois Clinic, IncFamily Medicine Physician Mount Vernon, IL NPI 1558088138
- Deaconess Illinois Specialty Clinic, Inc.Nurse Practitioner Mount Vernon, IL NPI 1497462964
- Bridgett Nicole Brown, FNP-CNurse Practitioner Mount Vernon, IL NPI 1932881331
- Brittany McDonald, APRNNurse Practitioner Mount Vernon, IL NPI 1962204503
About NPI 1679270763
Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1679270763, issued on Feb 9, 2023. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Mount Vernon, IL. The record was last updated on Feb 9, 2023.