Individual
NICOLE S BAYSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 S MAIN ST, BELLE RIVE, IL 62810-1228
(618) 316-1626
Mailing address
818 S 19TH ST, MOUNT VERNON, IL 62864-4666
(618) 417-2382
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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