Individual
LEIGH ANN FROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
813 E 4TH ST STE A, MOUNT VERNON, IN 47620-2012
(812) 450-1325
(812) 838-9214
Mailing address
13460 NEW MARKET RD, RIDGWAY, IL 62979-2506
(620) 238-1006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041418907
IL
363L00000X
Nurse Practitioner
71009272A
IN
363LF0000X
Family Nurse Practitioner
209018147
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209018147
IL
Other
Enumeration date
09/11/2018
Last updated
01/13/2021
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