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Individual

ALLYSON K. GOUGH

Active
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Individual

ALLYSON K. GOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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