Individual
MRS. ELISSA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1029 N 8TH STREET, VANDALLA, IL 62471-1238
(618) 283-4469
(618) 283-4797
Mailing address
1029 N 8TH STREET, VANDALLA, IL 62471-1238
(618) 283-4469
(618) 283-4797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018984
IL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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