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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Psychiatric/Mental Health Nurse Practitioner · BELLEVILLE, IL

Registration Details

NPI Number
1154727097
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2014 (11.489785334117 yrs)
Last Updated
Sep 4, 2024
Licenses
2014037192 (MO)
309.008272 (IL)
277.002228 (IL)

Practice Information

Address
12 N 64TH ST
BELLEVILLE, IL, 622233809
Browse IL providers · Browse ZIP 62223
Phone
6188774420
Additional Specialty
Family Nurse Practitioner

Other Psychiatric/Mental Health Nurse Practitioner Providers in BELLEVILLE, IL

Name Credential NPI
VERONICA POWERS 1316356710
CRYSTAL STONE APRN 1518328624
SAMANTHA KAY NOETH MMSN 1245706548
TIANA L LEONARD PMHNP-BC 1841843885
ABIGAIL ROSE MILLER 1861103137
LATONYA L. LEE APRN, PMHNP-BC 1093413395
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.