Individual provider · Type 1 NPI
Johnathan Myers
Psychiatric/Mental Health Registered Nurse · Deer Park, IL
NPI number
1720775109
Active
Practice location
23975 W Lancaster Ct
Deer Park, IL 60010-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 041461508 (IL) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1720775109
Johnathan Myers's National Provider Identifier is 1720775109, issued on Apr 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Deer Park, IL. The record was last updated on Apr 18, 2023.