Individual
JOHN LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, FNP-C
Contact information
Practice address
28 CHICK ST STE 100, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 524-4131
Mailing address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 524-4131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014310
IL
Other
Enumeration date
07/15/2016
Last updated
12/19/2018
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