Individual
DANIELLE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
112 W MADISON AVE, CHRISMAN, IL 61924-1118
(217) 269-2394
(217) 269-2438
Mailing address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209011584
IL
363LF0000X
Family Nurse Practitioner
277000383
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277000383
IL
Other
Enumeration date
06/23/2014
Last updated
05/01/2022
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