Individual
KATELYN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
206 S WASHINGTON ST, MC LEANSBORO, IL 62859-6708
(618) 643-2835
(618) 643-2891
Mailing address
206 S WASHINGTON ST, MC LEANSBORO, IL 62859-6708
(618) 643-2835
(618) 643-2891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.436332
IL
363LF0000X
Family Nurse Practitioner
Primary
209.028163
IL
Other
Enumeration date
08/01/2023
Last updated
02/05/2025
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