Individual
CARISSA LYNE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HAIRPIN DR EDWARDSVILLE IL 62026, EDWARDSVILLE, IL 62026-0001
(618) 650-3956
Mailing address
1 HAIRPIN DR EDWARDSVILLE IL 62026, EDWARDSVILLE, IL 62026-0001
(618) 650-3956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041.499045
IL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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