Individual
ANNABELLE DAYOLA-LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
415 E MAIN ST, KNOXVILLE, IL 61448-1330
(309) 349-3175
(309) 620-8751
Mailing address
8303 HOPEDALE RD, HOPEDALE, IL 61747-9672
(309) 363-1047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013321
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209013321
IL
364SA2200X
Adult Health Clinical Nurse Specialist
277000014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041292828
REGISTERED PROFESSIONAL NURSE
IL
01
—
2090133221
APN LICENSE NUMBER
IL
01
—
309009112
APN CONTROL SUBSTANCE
IL
Enumeration date
01/12/2016
Last updated
04/17/2025
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