Individual
MCKENNA D LOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-C
Contact information
Practice address
1007 W MAIN ST, FAIRFIELD, IL 62837-2308
(618) 842-4470
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041424762
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209020289
IL
Other
Enumeration date
02/26/2015
Last updated
02/06/2026
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