Individual
ALLYSON K. GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1000 HEALTH CENTER DR STE 107, MATTOON, IL 61938-9253
(217) 238-4960
(217) 238-4951
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041333130
IL
363L00000X
Nurse Practitioner
209004629
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209004629
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209004629
IL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
209004629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517490
HEALTHLINK
IL
Enumeration date
05/30/2006
Last updated
11/27/2018
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