Individual
JAMIE YVONNE WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
20613 N BROAD ST, CARLINVILLE, IL 62626-3720
(217) 854-3881
Mailing address
20733 N BROAD ST, CARLINVILLE, IL 62626-3710
(217) 864-3141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021448
IL
Other
Enumeration date
06/04/2020
Last updated
10/29/2023
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