Individual
TAMMY BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP APRN-CNS
Contact information
Practice address
123 LINCOLN PLACE CT, BELLEVILLE, IL 62221-5884
(618) 234-5677
Mailing address
123 LINCOLN PLACE CT, BELLEVILLE, IL 62221-5884
(618) 234-5677
(618) 234-5679
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
277001351
IL
364SA2100X
Acute Care Clinical Nurse Specialist
2015028841
MO
Other
Enumeration date
04/28/2010
Last updated
04/16/2021
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