Individual
ALYSSA M BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4600 MEMORIAL DR STE 400, BELLEVILLE, IL 62226-5366
(618) 257-4100
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-8512
(618) 235-0460
(618) 235-1464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025308
IL
Other
Enumeration date
09/22/2022
Last updated
09/26/2025
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