Individual
TASHIA I FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
220 S PARK AVE FL 2, HERRIN, IL 62948-3602
(618) 988-6240
(618) 351-4814
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041354357
IL
363L00000X
Nurse Practitioner
Primary
209014272
IL
363L00000X
Nurse Practitioner
309009913
IL
363LF0000X
Family Nurse Practitioner
209014272
IL
Other
Enumeration date
05/07/2016
Last updated
04/14/2026
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