Individual
ASHLEY R TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
20613 N BROAD ST, CARLINVILLE, IL 62626-3720
(217) 854-3881
Mailing address
21552 KNOLL RD, CARLINVILLE, IL 62626-3671
(217) 854-3881
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
041.399236
IL
363L00000X
Nurse Practitioner
209.015348
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.002039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376001351007
—
IL
05
—
376001351008
—
IL
Enumeration date
10/10/2016
Last updated
11/14/2024
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