Individual
MS. AMY JO MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
11362 COUNTRY CLUB RD, LAWRENCEVILLE, IL 62439-4325
(618) 943-3302
(618) 943-7589
Mailing address
PO BOX 516, LAWRENCEVILLE, IL 62439-0516
(618) 943-3302
(618) 943-7589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041395173
IL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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