Individual
JULIE A GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
515 N COLLEGE ST, LINCOLN, IL 62656-1401
(217) 732-9681
Mailing address
515 N COLLEGE ST, LINCOLN, IL 62656-1401
(217) 732-9681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013010656
ANCC CERTIFICATION
IL
Enumeration date
09/09/2013
Last updated
09/09/2013
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