Individual
AUDREY THURSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCBP-BC
Contact information
Practice address
751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702-4968
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.019621
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209.019621
IL
363LP2300X
Primary Care Nurse Practitioner
209.019621
IL
Other
Enumeration date
07/10/2019
Last updated
11/20/2025
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