Individual
MRS. JILL ANN STOOPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2833 S GRAND AVE E STE 100, SPRINGFIELD, IL 62703-2175
(217) 789-2069
(217) 535-3104
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
209.001105
IL
363LF0000X
Family Nurse Practitioner
Primary
209-001105
IL
Other
Enumeration date
01/17/2007
Last updated
01/29/2024
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