Individual
MRS. HELENA DIANE LONGFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1504 PATTON DR, MAHOMET, IL 61853-8144
(217) 586-2633
(217) 590-0272
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022187
IL
Other
Enumeration date
10/12/2020
Last updated
02/27/2024
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