Individual
HELAINE SUE BLOMENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4107 S WATER TOWER PL, MOUNT VERNON, IL 62864-6784
(618) 244-0031
Mailing address
4107 S WATER TOWER PL, MOUNT VERNON, IL 62864-6784
(618) 244-0031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020041032
MO
363LF0000X
Family Nurse Practitioner
Primary
209022542
IL
Other
Enumeration date
12/15/2020
Last updated
01/14/2025
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