Individual
HOLLY NOEL WATSON-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
3707 DOTY RD STE A, WOODSTOCK, IL 60098-7530
(815) 334-5018
(815) 206-2822
Mailing address
3707 DOTY RD STE A, WOODSTOCK, IL 60098-7530
(815) 334-5018
(815) 206-2822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.014772
IL
363LF0000X
Family Nurse Practitioner
209.014772
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
041225083
IL
Other
Enumeration date
08/29/2016
Last updated
02/12/2024
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