Individual
ABBY L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1602 W LAFAYETTE AVE, JACKSONVILLE, IL 62650-1007
(217) 243-7200
(217) 245-6165
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0709131
ANCC CERTIFICATION
IL
Enumeration date
08/03/2009
Last updated
10/03/2012
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