Individual
COURTNEY NICHOLE INNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 N SEMINARY ST, GALESBURG, IL 61401-4559
(309) 647-5240
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.03806
IL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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