Individual
JOANNA KAE KURILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6805 STATE ROUTE 162 STE 201, MARYVILLE, IL 62062-8530
(618) 288-5019
Mailing address
6805 IL 162, SUITE 201, MARYVILLE, IL 62062
(618) 288-5019
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021032483
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027119
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2021
Last updated
05/14/2025
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