Individual
DESHA COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1302 FRANKLIN AVE STE 1100, NORMAL, IL 61761-0016
(309) 268-2727
(309) 268-2701
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012027
IL
Other
Enumeration date
01/06/2015
Last updated
12/28/2024
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