Individual
JUSTINE E MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Mailing address
1640 1ST AVE, OTTAWA, IL 61350-9214
(815) 431-9208
(815) 673-5308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-011746
IL
363LF0000X
Family Nurse Practitioner
Primary
277002469
IL
Other
Enumeration date
08/26/2014
Last updated
04/18/2025
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