Individual
ALISA D DEARMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 N MARKET ST, SPARTA, IL 62286-1048
(618) 443-4138
Mailing address
PO BOX 378, SPARTA, IL 62286-0378
(618) 443-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012307
IL
Other
Enumeration date
12/16/2014
Last updated
04/08/2025
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