Organization · Type 2 NPI
NP PRN LLP
Psychiatric/Mental Health Nurse Practitioner · South Holland, IL
NPI number
1902204902
Active
Practice location
16456 Dobson
South Holland, IL 60473
Mailing address
16260 Louis Ave Unit 712
South Holland, IL 60473-5265
Other practice locations
- 9250 Columbia Ave, Suite C-1, Munster, IN 46321-3538 · (219) 513-9443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Point of Service | 305S00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in South Holland
About NPI 1902204902
NP PRN LLP's National Provider Identifier is 1902204902, issued on Dec 8, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Holland, IL. The record was last updated on Jun 12, 2025.