Individual
BRANDYNNE MARIE FRY ALLGAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
(217) 243-5313
Mailing address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
(217) 243-5313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.024073
IL
Other
Enumeration date
10/03/2021
Last updated
04/02/2024
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