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Individual

CHANCIE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401-2121
(217) 347-0458
Mailing address
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401-2121
(217) 347-0458

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041417657
IL
363L00000X
Nurse Practitioner
Primary
209031536
IL

Other

Enumeration date
01/08/2025
Last updated
03/05/2025
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