Individual
BROOKANN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-2529
(217) 528-7541
(217) 606-3057
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209021672
IL
363LF0000X
Family Nurse Practitioner
Primary
209021672
IL
Other
Enumeration date
05/27/2020
Last updated
07/15/2025
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