Individual
MRS. AMANDA PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041431361
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209029934
IL
Other
Enumeration date
08/04/2023
Last updated
07/15/2024
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