Individual
KELCI LYNN CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5128
(217) 585-1180
Mailing address
224 W GREENWOOD AVE, SOUTH JACKSONVILLE, IL 62650-3239
(217) 320-2666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026715
IL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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