Individual
KRISTAL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 N LOGAN AVE, DANVILLE, IL 61832
(217) 554-6827
Mailing address
18417 E 1200 NORTH RD, DANVILLE, IL 61834-7951
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
209026060
IL
Other
Enumeration date
10/19/2022
Last updated
11/09/2022
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