Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLYSON K. GOUGH, APRN, BC
ActiveALLYSON K. GOUGH, APRN, BC is a Adult Health Nurse Practitioner healthcare provider located in MATTOON, Illinois. NPI 1336196609 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MATTOON, IL
Registration Details
- NPI Number
- 1336196609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2006 (20.166962503214 yrs)
- Last Updated
- Nov 27, 2018
- Licenses
-
041333130 (IL)209004629 (IL)209004629 (IL)209004629 (IL)209004629 (IL)
Practice Information
- Address
-
1000 HEALTH CENTER DR STE 107MATTOON, IL, 619389253Browse IL providers · Browse ZIP 61938
- Phone
- 2172384960
- Fax
- 2172384951
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Adult Health Clinical Nurse Specialist
- Additional Specialty
- Medical-Surgical Clinical Nurse Specialist
- Additional Specialty
- Adult Health Nurse Practitioner
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.