Individual
MRS. BECKY L MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
206 N PEARL ST, TEUTOPOLIS, IL 62467-1134
(217) 857-6481
(217) 857-6094
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.007990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.340549
RN LICENSE
IL
01
—
209.007990
NURSE PRACTIONER LICENSE
IL
01
—
F1109189
AANP CERTIFICATION
IL
Enumeration date
01/28/2010
Last updated
08/22/2022
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