Individual
HOPE E HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 988-6179
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020723
IL
363LF0000X
Family Nurse Practitioner
Primary
209020723
IL
Other
Enumeration date
02/20/2020
Last updated
08/07/2024
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