Individual
MISS DONNA JEAN OYSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 315-6130
Mailing address
4493 HARRIS DR, POPLAR GROVE, IL 61065-8231
(815) 315-6130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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