Individual
KRISTIN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
270 MAPLE SUMMIT ROAD, JERSEYVILLE, IL 62052-2028
(618) 498-2273
(618) 639-8000
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012890
IL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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