Individual
ASHLEY MARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12528 SR 78, HAVANA, IL 62644-6866
(309) 543-4253
(309) 543-1060
Mailing address
1301 W JEFFERSON ST, APT 26 E, MORTON, IL 61550-1378
(309) 265-5345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363LF0000X
IL
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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