Individual
JAMEE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
705 S DIXIE HWY, HOOPESTON, IL 60942-1904
(217) 283-5530
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-2245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.016058
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209.016058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.016058
ADVANCED PRACTICE NURSE LICENSE
IL
Enumeration date
06/26/2017
Last updated
08/23/2023
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