Individual
DANA R. KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1076 N 3000TH AVE, MENDON, IL 62351-2510
(217) 440-6211
Mailing address
1076 N 3000TH AVE, MENDON, IL 62351-2510
(217) 440-6211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
041384624
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209020603
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001814
IL
Other
Enumeration date
12/24/2019
Last updated
06/15/2023
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