Individual
MS. ABIGAIL JEMIMA NIETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
130349
MO
363L00000X
Nurse Practitioner
Primary
1-184310
AL
363LF0000X
Family Nurse Practitioner
209013923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
TAXONOMY
IL
Enumeration date
09/17/2009
Last updated
03/25/2021
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