Individual
MS. CHRISTINA LYNN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1418 CROSS ST, DIV WUPI HEMATOLOGY, STE 180, SHILOH, IL 62269-2914
(314) 362-7216
(314) 696-1391
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7216
(314) 696-1391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420155582
—
MO
Enumeration date
09/23/2015
Last updated
06/20/2025
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